Saint Clare's Health Services, Dover, N.J., will pay $1.05 million to resolve allegations of Medicare fraud, the HHS' inspector general said Monday. The four-hospital Roman Catholic system is owned by Tulsa, Okla.-based Marian Health System. Saint Clare's allegedly billed Medicare for more expensive inpatient services when it actually provided outpatient services to some patients between 1992 and 1998. The actual overpayments to Saint Clare's was $698,000, and the system could have been liable for triple that amount, but the system apparently was unable to pay more and will not be required to enter into a corporate integrity agreement. The system did sign a certification that it will continue to operate under the system's corporate compliance plan for three years and will be required to submit annual compliance reports to the inspector general. Saint Clare's denied wrongdoing in the 20-page settlement agreement. Assistant U.S. Attorney Stuart Minkowitz in Newark prosecuted the case. Officials with Saint Clare's could not be reached for comment at deadline.
N.J. system settles Medicare fraud allegations
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