The government alleged that Ascension Michigan had concerns about the quality of care provided by the Doctor due to patient complaints and his suspected higher than average rates of pulmonary embolisms and surgical infections.
#ASCENSION ST JOHN HOSPITAL PROGRAM PROFESSIONAL#
1, 2011, through June 30, 2017, Ascension Michigan knowingly submitted false claims for payment to federal health care programs and improperly retained payment for professional and facility fees related to medically unnecessary radical hysterectomies that the Doctor performed, chemotherapy services that the Doctor administered or ordered that were not medically necessary, and evaluation and management services by the Doctor that were not performed or not rendered as represented. The settlement announced today resolves allegations that, from Feb. “We will continue to ensure that taxpayer funds are used appropriately for the important programs that they support.” Boynton of the Justice Department’s Civil Division. “When hospitals receive payment from federal health care programs for medically unnecessary surgical procedures, they cannot simply retain those payments they have an obligation to return them,” said Acting Assistant Attorney General Brian M. John Macomb Oakland Hospital and Ascension Crittenton Hospital (collectively, Ascension Michigan), all located in Michigan, have agreed to pay $2.8 million to resolve claims that they violated the False Claims Act by submitting or causing the submission of false claims for payment to federal health care programs related to alleged medically unnecessary procedures performed by a gynecologic oncologist (the “Doctor”).
WASHINGTON – Ascension Michigan and related hospitals, Providence Park Hospital, St.
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