Texas health system settles false billing case

Decatur Hospital Authority, which is doing business as Wise Health System in Decatur, Texas, agreed to settle allegations that it violated the False Claims Act, the Department of Justice said May 3.

According to the allegations, from 2016-18, Wise Health System billed Medicare for medically unreasonable or unnecessary genetic testing for surgical patients. The health system would submit the unnecessary samples from surgical patients to Total Diagnostic labs in Tennessee, then file false claims with Medicare, according to the Justice Department.

Under the settlement, Wise Health agreed to resolve the allegations for $431,183.

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