BC Advantage - 2024 Issue 4

Monthly Spotlight on Fraud, Waste, and Abuse

The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.   New York Hospital Settles Healthcare Fraud Claims for $17.3 Million   March saw a settlement agreement requiring a New York hospital to pay $17.3 million to resolve allegations that it paid unlawful kickbacks to physicians at the hospital's chemotherapy infusion center. The payments were made pursuant to a contractual arrangement that linked the compensation physicians received to the number of referrals the physicians made for services at the center. The agreement...

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