Justice Dept. Joins Whistle-Blower Suit Against Tenet, HMA

The U.S. Department of Justice has intervened in a whistle-blower suit that accuses Dallas-based Tenet Healthcare and Health Management Associates, based in Naples, Fla., of providing kickbacks to obstetrics clinics that referred undocumented Hispanic women to several of the health systems’ hospitals for labor and delivery.

Advertisement

The suit, originally filed by Ralph Williams, the former CFO of HMA, alleges the health systems paid the clinic for referring the undocumented women to four Tenet and one HMA hospitals, as the women would become eligible for Medicaid after delivery. Such a relationship is in violation of the federal Medicare and Medicaid Anti-Kickback Statute, according to the suit.

“The Department of Justice is committed to ensuring that healthcare providers who pay kickbacks in return for patient referrals are held accountable,” said Assistant Attorney General for the Justice Department’s Civil Division Stuart F. Delery in a news release.  “Schemes such as this one corrupt the healthcare system and take advantage of vulnerable patients.”

In a statement, Tenet said the agreements between the clinics and hospitals “were appropriate and provided substantial benefit to women in underserved Hispanic communities served by those hospitals,” and the health system would “vigorously defend” itself against the allegations.

More Articles on Hospital Lawsuits:

Lawsuit Claims Long Island Hospitals Failed to Assist to Deaf Patient
Federal Judge Dismisses Nevada Patient-Dumping Suit
Halifax Health’s Legal Fees Hit $21M Mark

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.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-Metrix

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.