Yale New Haven and Northeast Medical Group allegedly falsely billed Medicare and Medicaid for services purportedly provided at Bridgeport (Conn.) Hospital by physicians and advanced practice providers, according to a May 9 news release from the Connecticut attorney general’s office. The services, however, were actually performed by advanced practice providers alone; those services are reimbursed at a lower rate.
The allegations were brought forth via a whistleblower complaint and were followed up by a joint state and federal investigation, according to the release.
Medicare’s share of the settlement is $110,042, according to the release. The whistleblower will receive $106,536 of the settlement.