Ky hospital settles fraud case for $16.5 million

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by Associated Press

WHAS11.com

Posted on January 28, 2014 at 6:45 PM

LOUISVILLE, Ky. (WHAS11) --   A southern Kentucky hospital will pay $16.5 million to the federal government to settle claims that it submitted false or fraudulent Medicare and Kentucky Medicaid claims for a variety of unnecessary heart procedures.
 
   The agreement released Tuesday covers a period from Jan. 1, 2008 through Aug. 31, 2011 at St. Joseph Health System, which runs St. Joseph London Hospital.
 
   Federal prosecutors say several doctors at the hospital performed unneeded coronary stents, pacemakers and diagnostic catheterizations, then billed the federal programs.
 
   Hospitals generally receive between $10,000 and $15,000 for medical procedures such as heart stents.
 
   A spokesman for the University of Louisville Hospital, which runs St. Joseph, said a statement would be released later in the day.
 
   U.S. Attorney Kerry Harvey said a related whistleblower lawsuit and a criminal investigation are continuing.

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