LAWSUITS NEWS & LEGAL INFORMATION
Medicare Fraud
New Haven, CT: (Mar-09-08) Federal agencies brought charges against Yale-New Haven Hospital, alleging that it billed Medicare for inflated charges. Officials claimed that the allegations involved charges to Medicare for infusion therapy, chemotherapy administration and blood transfusion services. According to federal laws, Medicare only allowed payment for one unit of infusion therapy and chemotherapy administration per patient visit, and one unit of blood transfusion services per day. The lawsuit accused Yale-New Haven Hospital of billing Medicare for multiple units of these services.
Sources stated that the allegations also involved claims for services provided in the hospital's oncology infusion service that were not adequately documented in the patients' medical record. That conduct was disclosed by the hospital to the government under a procedure that encourages health care providers to voluntarily disclose such issues. The suit was filed because billing Medicare for inflated charges relating to chemotherapy services and blood transfusion services damages the fiscal integrity of the Medicare program.
A settlement was reached in the case, in which Yale-New Haven Hospital agreed to pay $3.77 million to resolve allegations that it over billed the Medicare program. The hospital does not admit liability and the agreement indicates the parties settled to avoid the uncertainty and expense of litigation. Federal officials also stated that Yale-New Haven Hospital fully cooperated with its investigation. [NEWSDAY: YALE-NEW HAVEN HOSPITAL REACHES $3.7 MILLION SETTLEMENT]
Published on Mar-10-08
Sources stated that the allegations also involved claims for services provided in the hospital's oncology infusion service that were not adequately documented in the patients' medical record. That conduct was disclosed by the hospital to the government under a procedure that encourages health care providers to voluntarily disclose such issues. The suit was filed because billing Medicare for inflated charges relating to chemotherapy services and blood transfusion services damages the fiscal integrity of the Medicare program.
A settlement was reached in the case, in which Yale-New Haven Hospital agreed to pay $3.77 million to resolve allegations that it over billed the Medicare program. The hospital does not admit liability and the agreement indicates the parties settled to avoid the uncertainty and expense of litigation. Federal officials also stated that Yale-New Haven Hospital fully cooperated with its investigation. [
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