Corporate Compliance

Houston hospital to pay $9.9M to settle inflated outlier charges

Compliance Monitor, April 1, 2009

Houston’s Methodist Hospital agreed to pay $9.9 million to settle allegations that it received improperly inflated payments from Medicare, according to a Department of Justice (DOJ) press release.
 
The DOJ alleged that Methodist inflated the cost of outpatient and inpatient care between January 2001 and March 2003 in order to obtain outlier payments. Outliers are supplemental payments made by Medicare for when patient care is unusually expensive.

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