Oklahoma hospital pays $1.1M to settle false claims allegations

An Oklahoma City-based hospital agreed to pay more than $1.1 million to settle allegations that it submitted false claims to Medicare. 

Oklahoma Heart Hospital South conducted an internal review and audit that found irregularities regarding its billing of certain services, according to a May 16 Justice Department news release. The hospital proactively contacted federal officials and cooperated with an investigation.    

The voluntary disclosure and investigation revealed that from June 1, 2013, through May 31, 2019, the hospital submitted claims to Medicare for intensive cardiac rehabilitation services, according to the news release. The hospital was required to have a physician complete and sign individualized treatment plans. Updated plans were required every 30 days if a patient was in the hospital for more than a month. The Justice Department alleges that the hospital violated the False Claims Act because physicians did not complete and/or sign plans for certain Medicare beneficiaries.

The hospital paid $1,151,770.50 to resolve the allegations and did not admit liability, according to the news release.  

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