The allegations stem from a 2018 whistleblower lawsuit filed by the hospital’s former director of compliance, Erma Lee. Ms. Lee accused John Peter Smith Hospital of routinely modifying billing codes for hundreds of claims in a way that doubled payment for some aspects of patient care.
John Peter Smith Hospital agreed to settle the allegations for more than $3 million.
The accusations were filed under the “qui tam” provision of the False Claims Act.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.