The Medicaid Fraud Control Unit of New York Attorney General Eric Schneiderman identified the alleged overbilling, which resulted in Sound Shore Medical Center in New Rochelle and Mount Vernon (N.Y.) Hospital receiving a profit of more than $1 million. Both hospitals are part of Sound Shore Health System, based in New Rochelle.
Under New York State law, hospitals and physicians are not permitted to make a profit on the drugs they administer. Hospitals are only to bill Medicaid for the price they paid for injectable drugs, not extra costs of physician administration. The settlement reflects twice the amount of what the hospitals had allegedly defrauded, along with interest.
More Articles on Hospital Settlements:
Tenet to Receive $84M From CMS in Underpayment Settlement
Tenet Agrees to $42.75M Settlement for Alleged Medicare Overbilling
Universal Health Services Agrees to Pay $6.85M to Settle False Claims Allegations
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.