Shands Healthcare pays $26M to settle inpatient fraud allegations

Florida-based not-for-profit hospital operator Shands Healthcare has agreed to pay $26 million to the U.S. Department of Justice to settle fraud allegations. According to the Justice Department, Shands's management submitted claims to Medicare, Medicare and TRICARE for inpatient services when they should have been paid at the much lower outpatient rate. An independent contractor for Shands turned whistleblower against the hospital system. Meanwhile, Shands may still face an investigation for potential fraudulent billing for outpatient services. Article


Suggested Articles

An ACA public option could lead to lower premiums for commercial plans by sparking more competition, an analysis found.

Centene Corporation posted $95 million in profit for the third quarter of 2019, which skyrocketed from $19 million in the third quarter of 2018.

A KHN investigation found that manufacturers, hospitals, doctors and some patient advocates have put marketing muscle behind 3D mammograms.