Physician, health system to pay $430K to settle fraud allegations 

Ashland, Ore.-based Asante Health System and one of its physicians have agreed to pay $430,000 to settle allegations that they knowingly submitted false claims for cardiothoracic surgeries to federal health programs. 

Advertisement

Between Jan. 1, 2015, and Jan. 31, 2021, the health system and cardiothoracic surgeon Charles Carmeci, MD, allegedly knowingly submitted claims for surgeries that did not meet reimbursement criteria to Medicare, Medicaid and Tricare, according to a Jan. 16 news release from the Justice Department. 

The procedures included decortications, PleurX catheter placements, pericardiectomies, mediastinal mass resections, patent foramen ovale, atrial septal defect closures and Bentall procedures.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

160 ambulatory leaders just ranked the EHR as the single system most overdue for AI reinvention

Tuesday, August 11
12:00 PM - 1:00 PM CDT

Presenter: Gautam Shah, MBA, FACHDM, NextGen Healthcare

Advertisement

Next Up in ASC News

Advertisement

Comments are closed.