South Carolina health system to pay $7M to settle false billing case

Anderson, S.C.-based AnMed Health has agreed to pay more than $7 million to resolve allegations it submitted false claims to Medicare, according to the Department of Justice.

Medicare regulations require a qualified practitioner to be immediately available to provide assistance and direction when patients receive radiation services. The government alleged AnMed billed Medicare for radiation oncology services provided to beneficiaries when a qualified practitioner was not available. 

The government further alleged AnMed submitted improper claims to Medicare for emergency department services and care provided at one of its clinics.

A former AnMed employee originally brought the allegations against the system under the qui tam, or whistle-blower, provisions of the False Claims Act.

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