Physician Blows Whistle on Multi-State Hospital System Caugh

Physician Blows Whistle on Multi-State Hospital System Caught Violating FCA


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A Physician Blows the Whistle on Large Multi-State Hospital System Caught Violating the False Claims Act for a Second Time and Will Receive Whistleblower Reward—An Earlier Whistleblower Received Over $6 Million
Tuesday, May 11, 2021
An anesthesiologist and member of the medical staff at Dignity Health, d/b/a St. Joseph’s Hospital, brought a False Claims Act qui tam lawsuit against the hospital and Neurosurgical Associates, LTD, in which he alleged a bait-and-switch scheme whereby patients thought they were undergoing invasive and high-risk surgeries performed by highly regarded and experienced neurosurgeons. However, he alleged the surgeries were performed by inexperienced medical students with no oversight from their teachers.  The alleged scheme allowed the experienced surgeons to bill Medicare for multiple surgeries performed by others at the same time, at the higher rate that Medicare reimburses for the highly skilled surgeons.

Related Keywords

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