Corporate Compliance

Yale-New Haven Hospital to pay $3.78M for false claims violations

Compliance Monitor, March 19, 2008

Yale-New Haven Hospital agreed to pay just under $3.8 million to settle allegations of Medicare fraud, according to a Department of Justice (DOJ) press release.

Between 2000 and 2005, the hospital allegedly billed Medicare for multiple units of infusion therapy, chemotherapy administration, and blood transfusion services, even though Medicare only allowed payment for one unit of infusion therapy and chemotherapy administration per patient visit, and one unit of blood transfusion services per day.

The allegations also include claims for services provided in the hospital's Oncology Infusion Service that were not adequately documented in the patients' medical record.

Yale-New Haven Hospital self-reported the conduct to the OIG.


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