Hamilton Health Center, a federally qualified health center in Harrisburg, Pennsylvania, has agreed to pay the United States $270,000 to settle False Claims Act allegations of Medicare and Medicaid fraud.
According to the U.S. Attorney’s Office for the Middle District of Pennsylvania, Hamilton allegedly employed an individual who had been previously excluded from participation in Medicare and Medicaid from 2006 to 2013. The United States alleged that it had civil claims against Hamilton resulting from Medicare and Medicaid payments it received during that period of time that reimbursed the company for the excluded individual’s services.
The settlement results from a self-disclosure by Hamilton to the Office of Inspector General of the U.S. Department of Health and Human Services (OIG) through the OIG’s Provider Self-Disclosure Protocol. Federal law prohibits Medicare and Medicaid from paying for any item or service rendered by an individual excluded from participation in those programs.
HHS OIG has the authority to “exclude” persons or businesses that engage in certain misconduct from participation in Medicare, Medicaid, and other federal healthcare programs. The effect of exclusion is that no federal program payment may be made for items or services provided by the excluded person/business, or provided because the excluded person prescribed or directed the item or service.
The matter was investigated by the United States Attorney’s Office for the Middle District of Pennsylvania and the Office of Inspector General of the U.S. Department of Health and Human Services. The matter was handled by Assistant United States Attorney Anthony D. Scicchitano for the United States Attorney’s Office.
Harrisburg – The United States Attorney’s Office for the Middle District of Pennsylvania announced that Hamilton Health Center, Inc., a federally qualified health center in Harrisburg, Pennsylvania, has agreed to pay the United States $270,000 to settle False Claims Act allegations. The settlement results from a self-disclosure by Hamilton to the Office of Inspector General of the U.S. Department of Health and Human Services (OIG) through the OIG’s Provider Self-Disclosure Protocol.
Hamilton Health Center, Inc. Defendant Information: Hamilton Health Center, Inc. is a federally qualified health center in Harrisburg, Pennsylvania. Charges: False Claims Act allegations. Location: Harrisburg, Pennsylvania. Date: 2023. Outcome: Hamilton Health Center agreed to pay $270,000 to settle False Claims Act allegations.
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Key Facts
- State: Pennsylvania
- Category: White Collar Crime|Healthcare Fraud
- Source: DOJ Press Release â†â€â€
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