How DOJ got 500‑plus hospitals to settle over cardiac implants

Modern Healthcare | May 28, 2016 | By Lisa Schencker The two federal prosecutors were skeptical. They weren’t sure what to believe when they first saw whistle-blowers’ allegations that 1,300 hospitals across the country had submitted false claims to Medicare for inappropriately implanting heart devices. “How could 1,300 hospitals—the biggest and the best, the most highly thought of, the leaders, and…

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2 state hospitals settle Medicare cardiac‑implant suit

Arkansas Democrat‑Gazette | February 19, 2016 | By Andy Davis Arkansas Heart Hospital has agreed to pay $900,000 to settle claims that it billed Medicare for implanting cardiac devices in situations that violated the program’s payment guidelines, the U.S. Department of Justice announced Wednesday. The Little Rock hospital was among 51 hospitals that entered settlements during the “final stage”…

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Health system that includes St. Francis settles $1.95 million DOJ lawsuit

The Topeka Capital‑Journal | February 18, 2016 | By Morgan Chilson St. Francis Health this week joined about 500 hospitals nationwide that settled in a U.S. Department of Justice case involving the use of cardiac devices implanted in Medicare patients. St. Francis was one of five Sisters of Charity of Leavenworth (SCL) system hospitals that settled in the lawsuit…

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St. Joseph’s, Chandler Regional hospitals settle cardiac claims

The Arizona Republic | February 17, 2016 | By Ken Alltucker St. Joseph’s Hospital and Medical Center and Chandler Regional Medical Center are among 51 hospitals that have agreed to pay more than $23 million to settle whistleblower claims over Medicare billings for implanted cardiac devices, the U.S. Department of Justice said Wednesday. The Justice Department did not say how…

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Feds wrap national probe into cardiac devices; 51 more hospitals settle

Modern Healthcare | February 17, 2016 | By Lisa Schencker Another 51 hospitals will pay the government to get out from under a federal probe into the suspected overuse of implantable cardioverter defibrillators, or ICDs. The U.S. Justice Department said the settlements announced Wednesday, which tally $23 million, mark the “final stage” of its far-reaching investigation. More than 500…

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Sentara settles lawsuit over allegations about cardiac devices

The Virginian‑Pilot | February 17, 2016 | By Amir Vera Sentara Healthcare has settled a lawsuit over allegations that cardiac devices were implanted in patients in violation of Medicare coverage requirements. The Department of Justice in October announced that more than $250 million in settlements had been reached and that 457 hospitals were involved. At the time, the department said…

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DOJ Shows Medicare Addresses Unnecessary Procedures

Des Moines Register | December 27, 2015 A seven-year federal investigation recently revealed that thousands of elderly Medicare patients have undergone surgeries to implant cardioverter defibrillators in violation of Medicare’s science-based coverage conditions. On Oct. 30, the U.S. Department of Justice announced that it had reached settlements with 70 hospital systems involving 457 hospitals in 43 states for more than $250 million. The…

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UPMC pays $5.4 million in Medicare claims case

Pittsburgh Post‑Gazette | October 31, 2015 | By David Templeton UPMC has reached a $5.4 million settlement with the U.S. Department of Justice for false-claim violations involving implantation of cardiac devices against Medicare guidelines in patients and then receiving Medicare payments. Four UPMC hospitals — Hamot, Mercy, Passavant and Presbyterian Shadyside — are among 457 hospitals nationwide that have reached settlements…

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Landmark Medicare fraud settlement for cardiac device surgery includes 46 Florida hospitals

Miami Herald | October 30, 2015 | By Daniel Chang Nine hospitals in South Florida are among nearly 500 nationwide that agreed to pay $257 million in a landmark settlement of charges that they improperly billed Medicare for surgical procedures to implant cardiac defibrillators in patients, the U.S. Justice Department announced Friday. The agreement sets a record for the largest…

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