Providence Health & Services wasn’t the only one under fire from Integra Med Analytics. The firm also filed a suit alleging that Baylor Scott & White, a large Texas-based health system, wrongly billed Medicare for more than $61.8 million over seven years through the practice of upcoding...Read More »
Sacramento-based Sutter Health LLC and several affiliates will pay $30 million to settle allegations that they were overpaid after submitting inflated information about the dire...Read More »
CareWell Urgent Care Centers, which operates 16 urgent care centers in Massachusetts and one in Rhode Island, has agreed to pay $2 million to settle whistleblower allegations that the company submitted inflated and upcoded claims to Medicare and Medicaid, according to the...Read More »
Developments continue in a $188.1 million lawsuit against Renton, Washington-based Providence Health & Services, with a judge presiding over the case requesting additional documentation from both parties to determine if the suit will continue or be dismissed...Read More »
A former Hospital Corporation of America (HCA) nurse accused the hospital chain of fraudulently billing the federal government for services at Regional Medical Center in San Jose, California, to inflate reimbursement.Read More »
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.Read More »
According to recently released documents from the lawyers involved in the case (available via pacer.gov), the United States declined to intervene in the case and the allegations will likely be dismissed on January 14, 2019.Read More »
DaVita Medical Holdings, a subsidiary of the dialysis company DaVita Inc., will pay $270 million to settle allegations that they incorrectly inflated certain Medicare Advantage reimbursements above the fixed, risk-adjusted rate owed for care.Read More »
