VCU Health System Authority Agrees to $4 Million Settlement
RICHMOND, Va. – Virginia Commonwealth University Health System Authority (VCU), which operates VCU Medical Center and related healthcare facilities in Richmond, agreed to pay $3,994,151 to settle claims for billing overpayments paid by Medicare, Tricare, and the Federal Employees Health Benefits Plan (FEHB) for services rendered to patients.
The resolution follows from a voluntary disclosure by VCU to the U.S. Attorney’s Office after VCU discovered through audits of patient files and claims data that Federal healthcare payors had been overbilled for radiation oncology services. After VCU discovered the conduct that had caused a variety of billing errors, VCU took corrective action to prevent the conduct that caused the overpayments and made the disclosure. The settlement resolves claims arising out of errors in VCU billings to Federal healthcare payors from 2009 through September 2014.
VCU provided assistance during the government’s investigation, which was a coordinated effort by the U.S. Attorney’s Office for the Eastern District of Virginia, the Department of Health and Human Services Office of Inspector General, the U.S. Office of Personnel Management Office of the Inspector General, and the Defense Criminal Investigative Service Office of Inspector General. The matter was investigated by Assistant U.S. Attorney Robert McIntosh.
The civil claims settled are allegations only; there has been no determination of civil liability.
A copy of this press release may be found on the website of the U.S. Attorney’s Office for the Eastern District of Virginia.