Settlement Stats
One of the most common reasons hospitals face costly regulatory enforcements is because of a technical violation in payments to their physicians. These violations often occur unintentionally as a result of overburdened manual processes.
Recent Settlement Headlines
- Former CEO of Hospital Chain to Pay $3.46 Million to Resolve False Billing and Kickback Allegations, April 2019
- Maryland Health System to Pay U.S. $35 Million to Resolve Allegations that it Paid Kickbacks to a Cardiology Group in Exchange for Referrals, March 2019
- Detroit Hospital Pays $84.5M to Settle Allegations for FCA and Stark Law Violation, August 2018
- New York Health System Pays $15.6M to Settle Billing Fraud Case, July 2018
- Florida Physician Network Pays $1.7M for Allegedly Misusing Billing Codes, July 2018
- Healthcare CEO Gets Prison Time for Role in a $19.4M Kickback Scheme, July 2018
- Ex-CFO, 3 Surgeons Charged in $950M Kickback Scheme in California, June 2018
Looking to stay clear of These five things should help.
Did You Know?
Don’t get caught with your compliance pants down! Did you know that the False Claims Act, Anti-Kickback Statute and Stark Law for Physician Self-Referral are just a few of the regulations that have devastated hospitals who failed to remain compliant. Whether you are aware of the regulations or not, the DOJ has no tolerance for unintentional violations — filing false claims may result in fines of up to 3x the programs’ loss PLUS $11,000 per claim filed.
Health Care Fraud Statistics
Financial Recoveries
$ 0 B
financial recoveries in 2018
$ 0 B
financial recoveries in 2017
$ 0 B
financial recoveries in 2016
$ 0 B
financial recoveries in 2015
Criminal Actions
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actions against individuals and entites in 2018
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actions against individuals and entites in 2017
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actions against individuals and entites in 2016
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actions against individuals and entites in 2015
Civil Actions
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actions against individuals and entites in 2018
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actions against individuals and entites in 2017
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actions against individuals and entites in 2016
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actions against individuals and entites in 2015