A whistle-blower lawsuit claimed certain neurosurgeons employed by UPMC submitted false claims to Medicare. The neurosurgeons allegedly submitted claims for assisting with or supervising procedures when they did not participate in the surgical procedures to the degree required.
The settlement also resolves allegations that a particular neurosurgeon fraudulently submitted claims to Medicare for levels of spinal decompression not actually performed, according to the DOJ.
Several claims included in the whistle-blower suit are not covered by the settlement, and the whistle-blowers will continue to pursue those claims.
UPMC affiliates Tri-State Neurological Associates-UPMC, University of Pittsburgh Physicians and UPMC Community Medicine were named as defendants in the suit, according to the DOJ.
More articles on healthcare industry lawsuits:
Virginia man arrested for selling fake cancer cure for $1,200 per bottle
11 states support FTC’s challenge to Advocate-NorthShore merger
Kosair Children’s Hospital gets new name under legal settlement
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
