The transaction agreement also argues that WBH provided and billed some CT radiology services as hospital services, although the imaging centre does not meet regulatory requirements based on Medicare providers. Dentons US LLP will conduct a more complete review of the complaints, the settlement agreement, the CIA and all other relevant documents as they become available, and intends to prepare a follow-up warning in the near future. As part of the comparison, Beaumont will also enter into a five-year enterprise integrity agreement with the U.S. Department of Health and Human Services. “Health care providers who offer or accept financial incentives in exchange for patient transfers undermine both the financial integrity of federal health programs and public confidence in medical facilities,” special agent hhS-OIG said in the Lamont Pugh batch. “Our agency will continue to protect patients and taxpayers by holding accountable those who practice fraudulent bribery schemes.” The following day, August 3, Prime Healthcare Services, Inc., two of its subsidiaries and fourteen of its hospitals (Prime) entered into a $65 million agreement with Prime`s Chief Executive Officer with Prime`s Chief Executive Officer with DOJ to resolve allegations of poor coding and billing practices in hospitals. According to the DOJ`s allegations, hospitals knowingly violated the ACF by including patients who needed more cost-effective outpatient care (such as compliance care) and coded bills by encoding more expensive diagnoses than patients. The DOJ stated that this non-compliance was the result of a “company-oriented system” to increase the hospital admission of Medicare receptors in some Prime hospitals between 2006 and 2013. In addition to the cash payment, Prime has agreed to hire a five-year CIA with the OIG, which includes an independent verification of claims for services provided to Medicare recipients.

“Providing financial incentives to physicians in exchange for patient transfers undermines the integrity of our health care system,” said Assistant Attorney General Chad A. Readler of the Justice Department`s Civil Division. “Patients deserve unqualified and independent judgment from their health care professionals.” “This agreement is consistent with and will complement our current commitment to effective compliance policies and processes,” Fox said. “We will continue to work with HHS to ensure the highest level of compliance and transparency at all levels of the organization. Most importantly, we will continue to focus on our critical mission of providing compassionate and extraordinary care to our patients, families and the communities we serve. The Detroit DOJ has been investigating allegations about medical contracts since 2010, including oncology, cardiology and ophthalmology. Beaumont was informed of the investigation in 2011.