Yale-New Haven Hospital Pays $3.2M to Settle Medicare Fraud Allegations

The Yale-New Haven (Conn.) Hospital has paid $3.2 million to Medicare to settle allegations that the hospital improperly billed the program for unnecessary inpatient hospital admissions from April 1998 to April 2006, according to a report in the New Haven Register.

According to the report, Y-NH voluntarily notified Medicare in Sept. 2006 of its improper billing of medically unnecessary inpatient hospital admissions of patients undergoing Gamma Knife stereotatic radiosurgery procedures, which are typically performed on an outpatient basis without general anesthesia, from April 2002 to April 2006. Y-NH paid Medicare a $2.4 million refund.

The government later determined that Y-NH had charged Medicare for the same procedures from April 1998 to March 2002. Yale paid Medicare $885,953 to cover this earlier period, according to the report.

Y-NH did not admit liability and has agreed to notify the government within 90 days of any other unallowable costs it may find, according to the report.

Read the Register's report about the Yale-New Have Hospital Medicare settlement.