◆ In a new Medicare transmittal (12,202), CMS introduced a new place of service (POS) code (27) for “Outreach Site/Street.”[1] POS 27 is defined as “a non-permanent location on the street or found environment, not described by any other POS code, where health professionals provide preventive, screening, diagnostic, and/or treatment services to unsheltered homeless individuals.”
◆ Optimus Health Care, Inc., a federally qualified health center (FQHC) based in Bridgeport, Connecticut, has agreed to pay $470,093 to settle allegations it submitted false claims to Medicaid over ineligible services, the U.S. Attorney’s Office for the District of Connecticut said Aug. 9.[2] The allegations relate to claims submitted to Connecticut Medicaid for dual-eligible beneficiaries between January 2014 and December 2020.
1 Centers for Medicare & Medicaid Services, “New Place of Service (POS) Code 27 – ‘Outreach Site/Street’,” Trans. 12,202 (Aug. 10, 2023), https://bit.ly/3qp20It.
2 U.S. Department of Justice, U.S. Attorney’s Office for the District of Connecticut, “Federally-Qualified Health Center Pays $470K to Settle False Claims and Improper Billing Allegations,” news release, August 9, 2023, https://bit.ly/3OA3EPo.
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