The allegations arose from a lawsuit filed under the qui tam, or whistle-blower, provisions of the False Claims Act by Jean Moore, MD, who is employed by Mercy Health.
The lawsuit alleged Mercy Health and its affiliate submitted false claims to Medicare for services rendered to patients who were referred by physicians who received bonuses based on a formula that improperly took into account the value of the physicians’ referrals.
Although the two defendants have agreed to this settlement, there has been no determination of liability in this case.
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Court issues first False Claims Act 60-day repayment rule decision: 5 takeaways
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