LSU Healthcare Center Settles False Claims Charges
The Louisiana State University Health Sciences Center-Shreveport (LSUHSC) will pay $706,000 to settle allegations that the teaching hospital billed Medicare for services that were not provided, according to an article in the Shreveport Times.
Former LSUHSC employees William Overdyke, MD, a teaching physician in the hospital's orthopedic department, and Susan Belgert Hodnett, the orthopedic head nurse, blew the whistle on LSUHSC,s alleged fraudulent billing. Overdyke and Hodnett say that between 1995 and 2005, J.A. Albright, MD, and Kalia Sadasivan, MD, were routinely absent from surgical procedures they were scheduled to attend, but proceeded to bill as if they had been there. According to the article, the physicians and the hospital would then divide the reimbursement.
Overdyke and Hodnett filed the charges in October 2002, and according to the article, Hodnett was fired within a year of the filing. Hodnett also claims LSUHSC gave poor reviews of her performance to potential employers in retaliation for the suit. Overdyke, who was fired prior to filing the suit, was investigated by LSUHSC,s chancellor for receiving kickbacks. Overdyke claims the charges were unfounded and were an act of vengeance.
These claims of mistreatment could cost LSUHSC. The False Claims Act protects whistleblowers from being discriminated against by their employers. Overdike and Hodnett will split $141,335 from the settlement and plan to file another suit to collect lost wages, lost benefits, damage to their reputations, and other items allowed by state and federal whistleblower protection laws.
Ben Amirault is an Editorial Assistant for the revenue cycle division of HCPro. He manages the Compliance Monitor e-newsletter and has developed a number of online learning modules. He can be reached at firstname.lastname@example.org..
- EHR Systems 'Immature, Costly,' AMA Says
- CEO Exchange: Preparing for Population Health
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- Advocate, NorthShore Deal Would Create 16-Hospital System
- 3 Strategies for Retaining Millennial Employees
- Interstate Medical Licensure Effort Advances
- 'Early Offer' Malpractice Programs May Spur Reform
- How to Build a Health Plan from Scratch
- Limiting choice to control health spending: A caution