3 recent self-disclosed fraud settlements involving hospitals

Three hospitals or health systems agreed to settle self-reported fraud claims in November and December, according to the HHS Office of Inspector General. 

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1. Providence Saint John’s Health Center, based in Santa Monica, Calif., agreed to pay more than $4.9 million to settle allegations it submitted claims to Medicare, Medicaid and Tricare for items and services provided for in clinical research that should have been paid for by the research study sponsor or provided free to the research participant. 

2. Kadlec Regional Medical Center, based in Richland, Wash., agreed to pay more than $14.3 million to settle allegations it submitted claims to Medicare Part A for inpatient rehabilitation stays that did not meet Medicare coverage criteria. 

3. Swedish Covenant Health, based in Chicago, agreed to pay more than $716,000 to settle allegations it employed a person it knew or should have known was excluded from participating in federal healthcare programs. 

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