42 C.F.R. § 1003.310

Current through November 30, 2024
Section 1003.310 - Amount of penalties and assessments
(a)Penalties. The OIG may impose a penalty of not more than-
(1) $15,000 for each claim or bill for a designated health service, as defined in § 411.351 of this title, that is subject to a determination under § 1003.300(a) or (c) ;
(2) $100,000 for each arrangement or scheme that is subject to a determination under § 1003.300(b) ; and
(3) $50,000 for conduct that occurred on or before February 9, 2018, and $100,000 for conduct that occurred after February 9, 2018, for each offer, payment, solicitation, or receipt of remuneration that is subject to a determination under § 1003.300(d) .
(b)Assessments. The OIG may impose an assessment of not more than 3 times-
(1) The amount claimed for each designated health service that is subject to a determination under § 1003.300(a), (b), or (c) .
(2) The total remuneration offered, paid, solicited, or received that is subject to a determination under § 1003.300(d) . Calculation of the total remuneration for purposes of an assessment shall be without regard to whether a portion of such remuneration was offered, paid, solicited, or received for a lawful purpose.

42 C.F.R. §1003.310

81 FR 88357 , Dec. 7, 2016, as amended at 88 FR 42840 , 42841, July 3, 2023
81 FR 88357 , 1/6/2017; 88 FR 42840 , 42841, 8/2/2023