Corporate Compliance

BlueCross BlueShield pays $2.1 M to settle false claims allegations

Compliance Monitor, August 13, 2008

BlueCross BlueShield of Tennessee (BCBS-T) agreed to pay $2.1 million to settle allegations that it violated the False Claims Act.
 
According to the Department of Justice (DOJ) release, Riverbend Government Benefit Administrators, a BCBS-T subsidiary that provides Medicare payment services for health care providers in 47 states, failed to adjust the cost-to-charge ratios for many New Jersey hospitals in a timely manner between 2000 and 2002. Failing to do so, resulted in the payment of excessive ”outlier payments” by Medicare to those medical facilities.
 
To read the DOJ press release click here

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