12 of the Largest False Claims Settlements in 2012
1. Tenet Agrees to $42.75M Settlement for Alleged Medicare Overbilling
In April, Dallas-based Tenet Healthcare agreed to a $42.75 million settlement to resolve allegations it overbilled Medicare for inpatient rehabilitation admissions.
2. HCA Agrees to $16.5M Settlement Over Anti-Kickback, False Claims Charges
In September, Nashville, Tenn.-based Hospital Corporation of America, the U.S. Department of Justice and Tennessee agreed on a settlement in which HCA would pay $16.5 million for alleged violations of the False Claims Act and the Anti-Kickback Statute.
3. Morton Plant Mease Health in Florida Resolves False Claims Allegations With $10M
In November, Clearwater, Fla.-based Morton Plant Mease Health Care agreed to pay $10.17 million to resolve allegations it violated the False Claims Act by overbilling Medicare.
4. Freeman Health in Missouri to Pay $9.3M for Alleged Stark Violations
In November, Joplin, Mo.-based Freeman Health System agreed to a $9.3 settlement to resolve allegations that it knowingly compensated physicians in a manner that violated the Stark Law and False Claims Act.
5. Atlantic Health, Overlook Medical Center Settle Overbilling Allegations With $9M
In June, Overlook Medical Center in Summit, N.J., and its parent, Atlantic Health System, agreed to pay roughly $9 million to settle allegations of Medicare overbilling.
6. Westchester Medical Center in New York to Pay $7M for Alleged Medicaid False Claims
In October, Westchester Medical Center in Valhalla, N.Y., agreed to a $7 million settlement to resolve civil fraud allegations that the hospital submitted false claims to Medicaid for nearly 10 years.
7. Universal Health Services Agrees to Pay $6.85M to Settle False Claims Allegations
In March, King of Prussia, Pa.-based Universal Health Services agreed to pay $6.85 million to settle charges it provided substandard psychiatric services to adolescent patients in Virginia.
8. Christus Spohn Health Pays $5.1M to Settle False Claims Allegations
In June, Christus Spohn Health System, based in Kingsville, Texas, agreed to pay a $5.1 million settlement to resolve allegations its hospitals submitted false claims to Medicare.
9. Maury Regional in Tennessee Settles False Claims Allegations With $3.6M
In July, Maury Regional Medical Center in Columbia, Tenn., agreed to a settlement of roughly $3.6 million to resolve False Claims Act allegations, which it voluntarily reported.
10. Excela Health Paid Nearly $2M to Settle Unnecessary Stenting Charges
The state's attorney's office for the Western District of Pennsylvania collected $13.1 million from civil and criminal actions this past fiscal year, and $1.98 million of that came from a settlement with Greensburg, Pa.-based Excela Health over alleged improper stenting.
11. Memorial Health Care in Tennessee to Pay $1.28M for Alleged Stark Law Violations
In August, Chattanooga, Tenn.-based Memorial Health Care System agreed to pay roughly $1.28 million to settle alleged violations of the False Claims Act and other federal laws.
12. Mayo Clinic to Pay $1.26M to Resolve False Billing Allegations
In August, Mayo Clinic agreed to pay $1.26 million to resolve a federal lawsuit claiming it billed the government for surgical pathology services that were never rendered.
More Articles on Hospitals and Legal Issues:9 Strategies for Robust Healthcare Due Diligence
AHA: Hospitals Losing Too Much Time, Money to "Outdated" Regulations
10 Necessary Points for a Due Diligence Checklist
© Copyright ASC COMMUNICATIONS 2016. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.