Healthcare FMV Advisors News & Updates

Sep 22

Written by: admin
9/22/2015 2:08 PM 

The settlement resolves allegations that Adventist paid bonuses to employed physicians based on a formula that improperly took into account the value of the physicians' referrals to Adventist hospitals, according to the Department of Justice. Adventist submitted false claims to the Medicare and Medicaid programs for services rendered to patients by the physicians who received the improper bonuses, according to the lawsuit.

The settlement also resolves claims that Adventist submitted bills to Medicare for its employed physicians' professional services containing certain improper coding modifiers, according to the DOJ.

The allegations against the health system were originally brought by three whistle-blowers who worked at an Adventist hospital in Hendersonville, N.C., and one whistle-blower who worked at the system's corporate office. The whistle-blowers brought the allegations under the qui tam provision of the False Claims Act.

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Date » 19 November, 2018    Copyright 2009 by Healthcare FMV Advisors Login  
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