Whistleblower Files $90 Million Fraud Lawsuit Against Hospital Corporation
Community Health Systems Inc., a Tennessee-based healthcare corporation, allegedly made illegal donations to New Mexico counties that contain three Community Health hospitals, according to an August 10 Albuquerque Journal article.
The whistleblower suit, which was filed in 2005 by a former employee, Robert C. Baker, suit claims Community Health made donations to the counties to subsidize the state's Medicaid contributions. The counties then allegedly turned that money over to the state as their Medicaid contribution. Because the federal government pays three times what the state pays for Medicaid, Community Health allegedly received a return on their investment plus triple the amount donated, according to the suit.
According to the article, Baker learned about the scheme when he took over as revenue manager for Eastern New Mexico Medical Center in Roswell, NM.
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..
- Resisting the Healthcare Consolidation Frenzy
- MGMA Urges 'End-to-End' ICD-10 Testing
- Give Nurses in Wheelchairs a Chance
- 1 in 5 CT Screenings for Lung Cancer Results in Overdiagnosis
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Scary Financial Challenges for 2014
- MU Compliance Announcement Sparks Concern, Confusion
- HL20: George Halvorson—Expectations for Success
- 3 Better Ways to Market Bariatric Surgery
- Top 3 Health Plan Game Changers of 2013