Tenet Health Care
Pays $22.5 Million
The
Tenet Healthcare hospital chain has settled a
False Claims Act case for $22.5 million, and
agreed to pay an additional $8.25 million to
settle charges that it submitted bills to get
inflated payments for Medicare patients.
This
settlement is the largest False Claims Act
recovery obtained from a single hospital for
violations of the Stark Statute which prohibits
hospitals from billing Medicare for services
rendered to patients by doctors with whom the
hospital has a financial relationship. The
government alleged that the North Ridge Medical
Center in Ft. Lauderdale, Florida , owned by
Tenet, had entered into a number of prohibited
financial relationships with North Ridge
physicians in 1993 and 1994 and had billed
Medicare for referrals from these doctors through
the late 1990's. The government also alleged that
these Stark Statute violations gave rise to the
defendants' violations of the False Claims Act.
Tenet
has been nailed for False Claims violations in
the past, and the hospital chain still
faces a government investigation over Medicare
billing for very sick patients, as well as two
lawsuits accusing two doctors at a Tenet hospital
in California of performing unnecessary
surgeries. Andrew
Heyward, a securities analyst at Ragen Mackenzie,
says he expects "many settlements" to
come.
In
January, Tenet announced that it would sell 27
hospitals in order to become a smaller but
leaner company. The American Medical News reports that of April
2004 Tenet was $4 billion in debt, with a
dwindling cash position and massive potential
legal liability from government investigations
and lawsuits.
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