Healthcare billing fraud: 5 latest settlements

Here are five healthcare organizations that entered into settlements to resolve billing fraud allegations in the past two months:

1. Acadia Healthcare inks $17M deal to settle billing fraud allegations
Franklin, Tenn.-based Acadia Healthcare entered into a $17 million settlement to resolve allegations its drug treatment centers in West Virginia submitted fraudulent claims for reimbursement to the state's Medicaid program.

2. Maryland medical group settles false billing allegations
Cardiac Associates, a medical group with four offices in Maryland, agreed to pay $399,230 to settle false billing allegations. The settlement resolves allegations that Cardiac Associates submitted claims to Medicare for services that weren't actually rendered between January 2012 and December 2016.

3. Texas health system settles false billing case
Decatur Hospital Authority, which is doing business as Wise Health System in Decatur, Texas, agreed to settle allegations that it violated the False Claims Act. According to the allegations, from 2016-18, Wise Health System billed Medicare for medically unreasonable or unnecessary genetic testing for surgical patients.

4. MedStar will pay $35M to settle kickback allegations
Columbia, Md.-based MedStar Health and two of its hospitals agreed to pay $35 million to resolve allegations that they paid illegal kickbacks to a cardiology group. MedStar also settled allegations that it received Medicare payments for medically unnecessary stents performed by a physician who was employed by MidAtlantic Cardiovascular Associates and later worked at MedStar.

5. Northeast urgent care chain to pay $2M to settle whistleblower case
CareWell Urgent Care, a chain of walk-in clinics in Massachusetts and Rhode Island, will pay $2 million to resolve allegations that it submitted false claims to government insurers.

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