Florida hospitals to pay $12.7M to resolve allegations of submitting improper claims

Fort Myers, Fla.-based Lee Health and Cape Coral (Fla.) Hospital agreed to pay $12.7 million to resolve allegations that they submitted claims to federal insurers for services that didn’t meet coverage criteria.

Advertisement

The HHS’ Office of Inspector General alleged that the two providers submitted claims for certain pain management procedures and evaluation services that didn’t meet federal health program criteria. The procedures in question were performed by two independent contractor physicians at the facilities. 

The inspector general said the alleged actions are a violation of the Civil Monetary Penalties Law. 

The alleged actions were self-reported to the inspector general. 

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.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.