GroundRules
42 CFR 1003.1010: Amount of penalties and assessments.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—OIG AUTHORITIES
- PART 1003—CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS
- Subpart J—CMPs, Assessments, and Exclusions for Beneficiary Inducement Violations
The OIG may impose a penalty of not more than—
(a) $10,000 for conduct that occurred on or before February 9, 2018, and $20,000 for conduct that occurred after February 9, 2018, for each item or service for which payment may be made, in whole or in part, under Medicare or a State health care program, ordered by or received from a particular provider, practitioner, or supplier for a beneficiary who was offered or received remuneration in violation of § 1003.1000(a) that was likely to influence the beneficiary to order or receive the item or service from the provider, practitioner, or supplier, and an assessment of not more than 3 times the amount claimed for each such item or service and
(b) $5,000 for each individual violation of § 1003.1000(b).
Collected 2026-08-27T02:26:11Z. Source file · JSON