Two outpatient radiation oncology practices in New York City allegedly improperly billed Medicare, Medicaid and Tricare for images used in radiation therapy treatments, according to a Jan. 25 news release from the Justice Department.
One of the practices was operated under a contract with a predecessor of the hospital, and the second practice was a joint venture between Leros and the hospital’s predecessor.
Between 2012 and 2018, images utilized in therapy treatments were billed for but were either not reviewed or not reviewed in a timely manner, making the images unreasonable and unnecessary, the release said.
Under the agreement, NewYork-Presbyterian will pay $695,000 to the U.S. and $106,000 to the state of New York.
The claims resolved in the settlement are allegations and there was no determination of liability, the release said.
