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News
Infirmary Health to pay $25 million to settle Stark case
By Joe Carlson | July 21, 2014 | Basic Web Basic Web Subscription Details
One of Alabama's largest health systems is paying $25 million to resolve a federal whistle-blower lawsuit that claimed its clinics routinely overpaid doctors to refer their radiology patients to hospitals, despite clear bans against paying for such referrals.
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News
Ky. hospital to pay nearly $41M to settle kickback, false claims charges
By Beth Kutscher | May 29, 2014 | Basic Web Basic Web Subscription Details
King's Daughters Medical Center has finalized a settlement with the U.S. Justice Department that resolves allegations that it performed unnecessary cardiac procedures and had inappropriate financial relationships with referring physicians.
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Magazine
Regional News/South: Halifax Health agrees to internal monitoring as part of landmark settlement
By Joe Carlson | March 15, 2014 | Print Magazine Print Magazine Subscription Details
Florida's Halifax Health will pay what may be a record-breaking $85 million settlement and hire two compliance officials who will file regular reports with HHS as part of an out-of-court agreement that allows the hospital to avoid being banned from the Medicare program.
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News
Ohio hospital to pay $8.5 million for self-disclosed violations
By Joe Carlson | March 14, 2014 | Basic Web Basic Web Subscription Details
Financial deals with two doctors will cost a 71-bed hospital in northern Ohio $8.5 million through a settlement with the Justice Department. Executives at ProMedica Memorial Hospital in Fremont, Ohio, told the government that two joint ventures with physicians had likely allowed illegal profits to...
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News
Halifax to have internal monitoring as part of landmark $85M settlement
By Joe Carlson | March 11, 2014 | Basic Web Basic Web Subscription Details
Florida's Halifax Health will pay what may be a record-breaking $85 million settlement and hire two compliance officials who will file regular reports with HHS as part of an out-of-court agreement that allows the hospital to avoid being banned from the Medicare program.
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Magazine
Caught between competing pressures
By Joe Carlson | March 08, 2014 | Print Magazine Print Magazine Subscription Details
Many hospitals hire and contract with doctors to boost referrals and serve members in their coordinated-care networks. But how to pay these doctors has become a perilous area under the Stark and anti-kickback laws and the False Claims Act, with whistle-blowers and the Justice Department watching.
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Magazine
Halifax whistle-blower felt she had no choice
By Joe Carlson | March 08, 2014 | Print Magazine Print Magazine Subscription Details
As a hospital compliance officer and physician services director, Elin Baklid-Kunz found evidence of Medicare billing abuses at Halifax Health, as did other officials there, she said in an interview. But hospital leaders did nothing to fix the problems after she and others reported them, she said.
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News
Physician contracting is legally perilous, Tenet executives say
March 08, 2014 | Basic Web Basic Web Subscription Details
During a wide-ranging interview at the Modern Healthcare offices on March 5, Trevor Fetter, president and CEO of Tenet Healthcare Corp., and Keith Pitts, Tenet's vice chairman, were asked about the issue of False Claims Act lawsuits against hospitals and health systems and how health...
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News
$85M settlement reached in Florida Stark case
By Joe Carlson | March 03, 2014 | Basic Web Basic Web Subscription Details
With minutes remaining before jury selection started, Halifax Health in Daytona Beach, Fla., announced a surprise $85 million settlement with prosecutors Monday that could resolve the first half of a nationally watched trial over whether the organization's physician compensation deals violate Stark...
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Information
Ky. hospital settles fraud case for $16.5 million
By Associated Press | January 28, 2014
A southern Kentucky hospital will pay $16.5 million to the federal government to settle claims that it submitted false Ky. hospitalor fraudulent Medicare and Kentucky Medicaid claims for surgeries to implant unnecessary coronary stents and pacemakers.
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