„Appealing to the government for more expensive hospital services that patients don`t need wastes the country`s vital health expenses,” said Deputy Attorney General Joyce R. Branda for the Justice Department`s Civil Service. „This department will continue its work to end the misuse of the country`s health resources and ensure that patients receive the most appropriate care.” This comparison highlights the government`s focus on fighting fraud in the health sector and marks another success for the Health Prevention and Action Team (HEAT) initiative, announced in May 2009 by the Attorney General and the Minister of Health and Human Services. The partnership between the two departments focused on reducing and preventing Medicare and Medicaid financial fraud through enhanced cooperation. One of the most powerful tools in this quest is the False Claims Act. Since January 2009, the Department of Justice has recovered a total of more than US$23 billion through False Claims Act cases, with more than US$14.8 billion recovered in cases of fraud against federal health programs. „This comparison shows this office`s commitment to protecting our public health programs,” said U.S. Attorney Melinda Haag for the Northern District of California. „We will continue to aggressively and appropriately follow false claims allegations regarding misconduct in the healthcare sector.” As part of the agreement, Dignity is required to use independent audit bodies to verify the accuracy of the company`s claims for services to federal health program recipients.

The comparison makes allegations that 13 Dignity Health Medicare and TRICARE hospitals, which are part of the military health program, knowingly over-use inpatient services for patients who should have been treated on a less expensive outpatient basis. Since hospitals typically receive significantly higher payments under national health care programs for hospitalizations compared to outpatient care, the reception of many patients who do not require inpatient care can, as is claimed, cause significant financial damage to federal health programs. Since January 2009, the Department of Justice has recovered more than $23 billion through False Claims Act cases. Approximately $15 billion of this amount has been recovered in cases of fraud against public health programs. The comparison makes allegations that 13 Dignity Health Medicare and TRICARE hospitals, which are part of the military health program, knowingly over-use inpatient services for patients who should have been treated on a less expensive outpatient basis. As part of today`s agreement, Dignity has entered into a Corporate Integrity Agreement with the U.S. Department of Health and Human Services – Office of Inspector General (HHS-OIG) in which the company is required to make significant compliance efforts over the next five years. As part of the agreement, Dignity is required to use independent audit bodies to verify the accuracy of the company`s claims for services to federal health program recipients. Dignity has also entered into a Corporate Integrity Agreement with the U.S. Department of Health and Human Services – Office of Inspector General (HHS-OIG), which requires the company to make considerable compliance efforts over the next five years. Founder of the FCPA blog and Editor at Large.

He has been awarded several times by Ethisphere Magazine as one of the 100 most influential people in business ethics and is a Trust Across America Top Thought Leader….

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