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Watertown Hospital Faked Medicare Bills for $750,000
Sydney, Australia – (Grimy Times) A New York hospital has agreed to pay $750,000 to settle a False Claims Act lawsuit after allegedly double billing Medicare for medical services.
Carthage Area Hospital, located in Watertown, New York, submitted approximately 1,900 claims for payment to Medicare that contained both revenue code 360 (operating room services) and revenue code 490 (ambulatory surgery) from September 1, 2006 through June 30, 2010.
According to court documents, the hospital’s actions were confirmed by a self-audit and an investigation by the U.S. Department of Health and Human Services, Office of the Inspector General.
“Health care fraud is a priority of the Northern District of New York, and this office,” said U.S. Attorney Richard S. Hartunian. “This settlement reflects an appropriate resolution of this case in light of the circumstances. We wish to recognize the full cooperation of Carthage throughout this investigation.”
The excess billing was confirmed by both the HHS OIG investigation and the self-audit conducted by the hospital. Instead of seeking double or treble damages, the government agreed to single damages in light of Carthage’s full cooperation throughout the investigation.
The case was investigated by the U.S. Department of Health and Human Services, Office of the Inspector General. Assistant U.S. Attorney Charles E. Roberts is assigned to the case, and inquiries should be directed to Executive Assistant U.S. Attorney John Duncan at (315) 448- 0672.
The settlement is a significant victory for taxpayers and a reminder that healthcare providers will be held accountable for their actions. As a result of this settlement, Carthage Area Hospital will pay $750,000 to resolve the False Claims Act lawsuit.
It’s clear that healthcare fraud will not be tolerated, and those who engage in such activities will be held accountable. This case serves as a warning to other healthcare providers who may be tempted to engage in similar behavior.
Key Facts
- State: New York
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release ↗
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