BC Advantage - 2025 Issue 1

Monthly Spotlight on Fraud, Waste, and Abuse

UCHealth Agrees to Pay $23M to Resolve Allegations of Fraudulent Billing for Emergency Department Visits   University of Colorado Health, known as UCHealth and headquartered in Aurora, Colorado, has agreed to pay $23 million to resolve allegations that it violated the False Claims Act in seeking and receiving payment from federal healthcare programs for visits to its emergency departments, by falsely coding certain Evaluation and Management (E/M) claims submitted to the Medicare and TRICARE programs.   Although UCHealth entered this healthcare fraud settlement with the United States, it refused to agree to compliance-related oversight with HHS-OIG through a Corporate...

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