42 C.F.R. § 1003.310

Amount of penalties and assessments.

Last amended: 2023Year: 2026Length: 200 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 1003.310 (2026)

(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. [81 FR 88357, Dec. 7, 2016, as amended at 88 FR 42840, 42841, July 3, 2023]
Cross-references to the CFR
1003.300411.351
42 C.F.R. § 1003.310: Amount of penalties and assessments. | Justis AI