The settlement agreement with HHS Office of the Inspector General states that the hospital submitted 10 claims for an uncovered service, carotid artery stenting procedures, using a billing code that HHS contends constituted a false claim.
The hospital maintains that there aren’t enough cases for the particular procedure to warrant FDA approval for the specific application, which is required for a separate billing code.
Read the Phoenix Business Journal’s report on the Arizona Heart Hospital settlement.
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