The settlement resolves allegations that Saint Michael’s submitted claims to Medicare and Medicaid for cardiac procedures that were not medically necessary. From Jan. 1, 2009, through Jan. 1, 2015, the hospital allegedly submitted claims for coronary interventions, catheterizations and stents performed in its cardiac catheterization lab that were not medically necessary.
The allegations against Saint Michael’s were brought in a lawsuit filed under the whistle-blower, or qui tam, provisions of the False Claims Act.
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