Three hospitals in New York’s Mount Sinai Health System will pay $2.95 million to settle Medicaid fraud charges for taking two years to repay more than $844,000 of improper billings that had been flagged by a whistleblower, authorities said on Wednesday.
The accord resolves claims that Mount Sinai Beth Israel, Mount Sinai St. Luke’s, Mount Sinai Roosevelt and their former Continuum Health Partners venture violated federal and state False Claims Acts by failing to repay the funds within 60 days, resulting in “reverse false claims.”
U.S. Attorney Preet Bharara in Manhattan said the case arose after Continuum had been alerted by Robert Kane, a technical director for operations, to a software glitch that caused the erroneous billing of 444 claims to Medicaid in 2009 and 2010.
Source: New York City hospitals settle Medicaid repayment fraud charges | Reuters