Corporate Compliance

SC hospital to pay $9.5 million in OIG settlement

Compliance Monitor, February 18, 2004

St. Francis Hospital, Inc., based in Greenville, S.C., agreed to pay nearly $9.5 million to resolve Medicare billing improprieties from 1997 through 1999 in its home health, hospice, and durable medical equipment programs, according to Acting Principal Deputy Inspector General Dara Corrigan in a February 11 announcement. The settlement falls under the Office of Inspector General's (OIG) provider self-disclosure protocol, which encourages providers to approach the government voluntarily when they uncover potential fraud and compliance problems.

According to the OIG, this is the largest settlement reached solely under its administrative authorities and one of the largest settled under the self-disclosure protocol.

Bon Secours Health System, Inc. discovered billing and documentation problems at St. Francis when it was purchasing the hospital in 2000. Bon Secours launched an internal investigation that revealed substantial error rates and systematic documentation lapses in its Medicare billings.

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