Medicare Compliance & Reimbursement

Enforcement:

FEDS HAVE FALSE CLAIMS ACT TARGETS IN HIGH PLACES

Bluegrass State's lieutenant govenor settles FCA suit. When it comes to health care fraud, the Department of Justice isn't afraid to set its sights on high-ranking public officials. The feds Sept. 2 secured a $162,000 settlement from Kentucky Lieutenant Governor Dr. Stephen Henry, the U.S. attorney's office in Louisville reports. The resolution will allow Dr. Henry to put behind him civil False Claims Act charges relating to surgeries at the University of Louisville Hospital. The allegations are typical of those that have dogged academic medical centers and teaching physicians for years: The government maintained that Henry caused the hospital to submit Medicare and Medicaid claims for surgeries done by residents under his supervision when he was not actually present or readily available. The DOJ sought a harsh penalty against the orthopedic surgeon: The settlement amount is more than two-and-a-half times the value of the allegedly fraudulent reimbursement requests. Henry denies any wrongdoing and says the claims at issue were isolated mistakes, not an effort to defraud the government, according to news reports.
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