HealthExecNews.com » Hospital settles Medicare overcharge allegations

Hospital settles Medicare overcharge allegations

December 4, 2009 by Carol Katarsky
Posted in: Finance, Fraud & Waste, Hospital Management, In this week's e-newsletter, Insurance, Latest News & Views, Medicare/Medicaid

A dispute over what constitutes a “complicated” cardiac procedure has cost an Iowa hospital roughly $1.4 million.

Mercy Medical Center-Sioux City agreed to pay $400K to settle allegations by the U.S. Attorney General that it wrongly charged Medicare for cardiac care. The feds claim the hospital abused the “outlier” program in which Medicare pays more to providers who take on more complicated procedures.

Mercy denied all wrongdoing and spent approximately $1M on legal fees to defend the charges.

  • Share/Bookmark

HealthExecNews.com delivers the latest Healthcare news once a week to the inboxes of over 30,000 Healthcare professionals.

Click here to sign up and start your FREE subscription to HealthExecNews!


Tags: , , , , ,


Leave a Reply


advertisement

Whitepapers


    Quick Vote

    • Overall, the new health care reform law will be a a good thing for my organization:

      View Results

      Loading ... Loading ...

    • advertisement

    See what readers are saying...

    • Kaycee: We had to remove a vacuum cleaner hose from man who passed out, assumably in extreme pleasure. Back in those days part ...
    • Dulcie Michelfelder: People now not want to use his or her mobile handsets only for generating phone calls. They want to make use of their ce...
    • Sawtooth: Given the information in the article, she used poor judgement in picking such a medium to vent. Sometimes humans regardl...
    • Brian, Safety Officer: All I can say is this is a major HIPAA violation, unprofessional and morally wrong. What in the world were they thinking...
    • J. Bolin, LPN: This is purley unprofessional. They should never be intrusted again, to work in the medical field, and should be prosecu...
    • Lincoln Allen: To post patient information and pictures of patients on the internet is ground for immediate dismissal. This type of ...







    a