55 Hospitals to Settle False Medicare Claim Charges for $34M
In an e-mail exchange, an HCA spokesperson stated, "we are pleased to see new clarification of industry care standards, which help physicians make decisions regarding kyphoplasty patients, and we are confident as a result that this issue has been resolved."
HCA, which operates 162 hospitals in 22 states, is no stranger to fraud settlements. Between 2000 and 2003, HCA paid $1.7 billion to the federal government to settle an extensive false claims investigation that included Medicare and other federal health programs.
In addition to the 23 HCA hospitals, other multi-location facilities in the kyphoplasty settlement include:
- Six hospitals affiliated with the Brentwood, TN-based Lifepoint Hospitals Inc., which will pay $2.5 million.
- Five hospitals affiliated with the Livonia, MI-based Trinity Health, which will pay $2.4 million.
- Four hospitals affiliated with the Clearwater, FL-based Morton Plant Mease BayCare Health System, which will pay $3.9 million.
The settlements bring to a close an investigation that has led to more than 100 hospitals paying $75 million to resolve allegations that they mischarged Medicare for kyphoplasty procedures.
- 1 in 5 Eligible Hospitals Penalized for HACs
- 'Mega Boards' Could be Rural Healthcare Disruptor
- Two-Midnight Rule Will Cost Hospitals Big
- The Hospital of the Future is Not a Hospital
- Meaningful Use Payment Adjustments Begin
- PA hospital to pay $662,000 to settle Medicare fraud case
- HL20: Rebecca Katz—Cooking Up Sustainable Nourishment
- Supreme Court to hear Obamacare subsidy challenge in March
- HL20: Peter Semczuk, DDS, MPH—Taking on the Big Challenges
- 12 Hires to Keep Your Hospital Out of Trouble