South Miami Hospital settles whistle-blower suit for $12M

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South Miami (Fla.) Hospital, a 100-bed nonprofit hospital, has agreed to pay the federal government approximately $12 million to resolve allegations it submitted false claims to federal healthcare programs, according to the Department of Justice.

Specifically, the government alleged the hospital violated the False Claims Act by billing government payers for medically unnecessary cardiac procedures, which were performed by John Dylewski, MD. 

The allegations were originally brought in a lawsuit filed by two whistle-blowers under the qui tam provisions of the False Claims Act. The whistle-blowers are both physicians who claimed to have personal knowledge of South Miami Hospital and Dr. Dylewski performing unnecessary procedures, according to the DOJ.

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