The hospital agreed to the payment without admitting any guilt or wrong doing. The charges were in excess of what is considered normal inpatient fees. There are not additional details here. I am almost betting one could audit almost hospital today and find items as such and perhaps...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Aug 26 2010
Filed under:
Filed under: Medically Related, Insurance, Surgery, healthcare, medicare, Claims, Oncology, audits, billing, Santa Monica, John Wayne Cancer Institute
The fine appears small compared to also having to pay $75.37 million to resolve civil allegations related to the false medical claims that were generated due to off label illegally promoted use. The ‘Doctor For A Day Program” is listed as an area where the promotions occurred as well as sales...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, May 21 2010
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Filed under: Medically Related, Pharma/FDA News, Other Items of Interest, drugs, Claims, Prescriptions, FDA, Marketing, Johnson and Johnson, FBI, legal case, Topamax, billing, off label marketing, epilepsy, Orth-McNeil-Janssen
When fines are levied and paid, do the doctors or patients ever see anything returned? This is pretty calculated risk management on the given example below when they man had to pay over $1200 out of his own pocket for an MRI, no standard and customary corrupted data base said only $419 was allowed...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Feb 15 2010
Filed under:
Filed under: Medically Related, healthcare, Claims, Blue Cross, Fraud, Lawsuits, Algorithms, Ingenix, healthcare reform, interview, billing, out of network