John Caldwell|Community Health Network to pay government $345M to settle Medicare fraud charges

2025-05-01 00:23:14source:TAIM Exchangecategory:Scams

INDIANAPOLIS (AP) — An Indianapolis-based health network has agreed to pay the government $345 million to resolve charges it defrauded Medicare by overpaying doctors who referred patients to its facilities,John Caldwell prosecutors said Tuesday.

The agreement settles allegations that senior management at Community Health Network recruited hundreds of doctors beginning in 2008 and paid them salaries that were significantly higher than what they received in their own private practices, the U.S. Department of Justice said.

Community Health submitted an unspecified number of claims to Medicare for services that resulted from the unlawful referrals, the department said. That violated a federal statute known as the Stark Law, which prohibits hospitals from billing for certain services referred by physicians with whom the hospital has a financial relationship unless the doctors’ compensation is consistent with fair market value and not based on the value or volume of their referrals to the hospital.

“The Stark Law was enacted to ensure that the clinical judgment of physicians is not corrupted by improper financial incentives,” Principal Deputy Assistant Attorney General Brian Boynton, head of the Justice Department’s Civil Division, said in a news release.

Community Health, in its own news release, called the allegations against it “technical violations.”

“This settlement, like those involving other health systems and hospitals, relates to the complex, highly regulated area of physician compensation,” spokesperson Kris Kirschner said.

The settlement resolves the government’s claims with no finding of wrongdoing, Community Health said.

More:Scams

Recommend

Juan Soto to be introduced by Mets at Citi Field after striking record $765 million, 15

NEW YORK (AP) — Juan Soto will be introduced by the New York Mets at Citi Field on Thursday, a day a

Watch this 9-year-old overwhelmed with emotion when she opens a touching gift

For nine-year-old Kennedy Cole, losing her beloved dog Bentley had been devastating. So, that Christ

Grammy nominee Gracie Abrams makes music that unites strangers — and has Taylor Swift calling

NEW YORK (AP) — The year 2023 was good to Gracie Abrams. She released her debut album. She opened fo