KY hospital settles false claims case

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by Associated Press

WHAS11.com

Posted on July 2, 2013 at 4:22 PM

Updated Tuesday, Jul 2 at 4:22 PM

LOUISVILLE, Ky. (AP) -- A western Kentucky hospital has settled allegations it submitted false claims to the federal government and agreed to pay $1.1 million as part of a deal.
 
The U.S. attorney in Louisville and Trover Health System of Madisonville announced the agreement on Tuesday.
 
Fifty-five hospitals located in 21 states were part the U.S. Justice Department's announcement accounting for more than $34 million to settle allegations that the health care facilities submitted false claims to Medicare for kyphoplasty procedures.
 
The settlement outlines allegations that Trover Health System submitted diagnosis-related group claims to Medicare for certain kyphoplasty procedures performed between May 1, 2001, and July 31, 2009, as inpatient procedures when they should have been billed as outpatient procedures.
 
Two whistleblowers will receive $203,496 of the settlement proceeds for bringing the case.

 

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