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Piedmont Pays $16 Million to Settle Kickback and Overbilling Allegations
By Health Capital Consultants, LLC
On June 25, 2020 Atlanta’s Piedmont Healthcare, Inc. agreed to pay $16 million to the federal government to resolve two False Claims Act (FCA) allegations of kickbacks and overbilling. The relator, a former Piedmont physician, alleged Stark Law and Anti-Kickback Statute (and subsequent FCA) violations of paying an amount that was above fair market value (FMV) and commercially unreasonable in Piedmont’s 2007 acquisition of Atlanta Cardiology Group (ACG).
Additionally, Piedmont’s payments settle allegations that the hospital admitted patients without medical necessity in order to bill Medicare and Medicaid for inpatient procedures that were recommended to be performed at the less expensive outpatient or observation settings. (Read more…)
Assessment: Your thoughts are appreciated.
NOTE: I was on the courtesy medical staff of Piedmont Hospital in Atlanta for more than a decade = DEM.
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Filed under: Health Economics, Health Law & Policy, Healthcare Finance | Tagged: CMP Program, Health Capital Consultants LLC, healthcare abuse, healthcare fraud | Leave a comment »
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