Fourteen hospitals have agreed to pay more than $12 million combined to settle federal allegations that they defrauded Medicare by overbilling for kyphoplasty procedures, according to a news release from the Department of Justice.
The alleged improper billing took place between 2000 and 2008. Kyphoplasty is a minimally invasive procedure that treats certain types of spinal fractures. In many cases, it can be performed as an outpatient procedure, but the government claims these 14 hospitals performed kyphoplasties on an inpatient basis to increase their federal reimbursement.
The facilities, and their specific settlements, are as follows:
Plainview (N.Y.) Hospital — $2,307,365
North Shore Syosset (N.Y.) Hospital — $192,735
North Mississippi Medical Center in Tupelo — $1,894,683
Mission Hospital (Asheville, N.C.) — $1,500,000
Wenatchee (Wash.) Valley Medical Center — $1,224,710
Community Hospital Anderson (Ind.) — $500,561
St. John's Mercy Hospital (Creve Coeur, Mo.) — $365,000
Gulf Coast Hospital (Fort Myers, Fla.) — $173,006
Lee Memorial Hospital (Fort Myers, Fla.) — $159,572
Cape Coral (Fla.) Hospital — $73,279
Additionally, four hospitals affiliated with Adventist Health System in Florida will pay a total of $3.9 million, and these include Florida Hospital Orlando, Florida Hospital-Oceanside, Florida Hospital Fish Memorial and Florida Hospital Heartland Medical Center.
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New Mexico Will Pay $8M to Resolve Hospitals' Allegedly Improper Deals
The alleged improper billing took place between 2000 and 2008. Kyphoplasty is a minimally invasive procedure that treats certain types of spinal fractures. In many cases, it can be performed as an outpatient procedure, but the government claims these 14 hospitals performed kyphoplasties on an inpatient basis to increase their federal reimbursement.
The facilities, and their specific settlements, are as follows:
Plainview (N.Y.) Hospital — $2,307,365
North Shore Syosset (N.Y.) Hospital — $192,735
North Mississippi Medical Center in Tupelo — $1,894,683
Mission Hospital (Asheville, N.C.) — $1,500,000
Wenatchee (Wash.) Valley Medical Center — $1,224,710
Community Hospital Anderson (Ind.) — $500,561
St. John's Mercy Hospital (Creve Coeur, Mo.) — $365,000
Gulf Coast Hospital (Fort Myers, Fla.) — $173,006
Lee Memorial Hospital (Fort Myers, Fla.) — $159,572
Cape Coral (Fla.) Hospital — $73,279
Additionally, four hospitals affiliated with Adventist Health System in Florida will pay a total of $3.9 million, and these include Florida Hospital Orlando, Florida Hospital-Oceanside, Florida Hospital Fish Memorial and Florida Hospital Heartland Medical Center.
Related Articles on Hospital Settlements:
Denver Health Medical Center to Pay $6.3M to Resolve Charges of OverbillingCatholic Healthcare West, Sutter Health Pay $2.3M to Settle Improper Billing Charges
New Mexico Will Pay $8M to Resolve Hospitals' Allegedly Improper Deals