MO system to pay $60M to settle Medicare fraud charges

A Missouri-based health system has agreed to pay $60 million to settle a federal investigation into alleged Medicare fraud and other violations of federal law. Under the terms of the settlement, Springfield, MO-based CoxHealth would pay $35 million when the settlement is finalized, then $5 million per year for five years at an interest rate of 4.5 percent.

About three years ago, the HHS began investigating the health system, which includes three hospitals. The agency alleged that there were problems with the way Cox paid physicians (including payments to physicians providing no services at all), the way Cox billed for renal dialysis and the way it reported Medicare costs. Along the way, two former CoxHealth employees filed suit, asserting that they were fired after talking to federal investigators about possible criminal Medicare fraud involving dialysis services.

To learn more about the investigation:
- read this Kansas City Star piece

Related Articles:
Medicare fraud costs CMS billions
FL health system settles Medicare fraud charges
FL doctor pays $7M to settle federal fraud suit
St. Barnabas to pay $265M for Medicare fraud

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.