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Nora Dannehy,
Acting United States Attorney for the District of Connecticut, today
announced that GREENWICH HOSPITAL, located at 5 Perryridge Road,
Greenwich, Connecticut, has entered into a civil settlement agreement
with the Government in which it will pay $605,274 to resolve allegations
that it violated the False Claims Act.
Acting U.S. Attorney Dannehy explained that the allegations against
GREENWICH HOSPITAL involved charges to Medicare for infusion therapy
and chemotherapy administration services. During the time period
at issue, Medicare allowed payment for one unit of infusion therapy
and chemotherapy administration per patient visit. However, on many
occasions, GREENWICH HOSPITAL billed Medicare for multiple units
of these services. Instead of billing for one unit per patient visit,
GREENWICH HOSPITAL often billed Medicare for between two and five
units.
To resolve
its liability under the False Claims Act, GREENWICH HOSPITAL will
pay double damages, in the amount of $605,274, in order to reimburse
the Medicare program for conduct occurring between August 1, 2000
and December 31, 2004. The False Claims Act provides for treble
damages and penalties of $5,500 to $11,000 per false claim submitted
to the Government.
"The health
care system relies on hospitals to bill Medicare honestly and accurately,"
Acting U.S. Attorney Dannehy stated. "Billing Medicare for
inflated charges relating to chemotherapy and infusion services
damages the fiscal integrity of the Medicare program."
In entering
into the civil settlement agreement, GREENWICH HOSPITAL did not
admit liability and the agreement indicates that the parties entered
into the settlement to avoid the uncertainty and expense of litigation.
This case was
investigated by the Office of Inspector General for the Department
of Health and Human Services and the Federal Bureau of Investigation,
and was prosecuted by Assistant United States Attorney Richard M.
Molot, along with Auditor Kevin Saunders.
People who
suspect health care fraud are encouraged to report it by calling
the Health Care Fraud Task Force at (203) 785-9270 or 1-800-HHS-TIPS.
U.S. ATTORNEY'S OFFICE
Tom Carson
(203) 821-3722
thomas.carson@usdoj.gov
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