Jewish Hospital & St. Mary's Healthcare, Inc. Agrees To Pay $435,502 To Settle Alledged False Medicare Billing
– Overbilling for an out-patient service covers a four year period
LOUISVILLE, KY – Jewish Hospital & St. Mary’s HealthCare, Inc. (JHSMH) has voluntarily entered into a settlement with the United States of America to pay $435,502 to settle allegations that it submitted false claims in violation of the Federal False Claims Act, announced the Office of Inspector General of the Department of Health and Human Services and David J. Hale, United States Attorney for the Western District of Kentucky.
According to the settlement agreement, the United States contends that JHSMH inappropriately submitted additional charges to Medicare for outpatient wound care services.
Specifically, the United States alleged that JHSMH submitted additional charges for separate evaluation and management services performed for patients in these settings when no such separate evaluation and management services were performed. The over-billing covered a four year period between January 1, 2006 and February 26, 2010.
The settlement agreement shall be paid by electronic funds transfer no later than November 17, 2011.
This settlement agreement is neither an admission of liability by JHSMH nor a concession by the United States that its claims are not well founded.
This case was prosecuted by Assistant United States Attorney Benjamin S. Schecter and it was investigated by AdvanceMed Corporation, Medicare’s Program Safeguard Contractor for Kentucky.
