Corporate Compliance

Trinity Health agrees to pay $205,000 to settle false claims case

Compliance Monitor, December 30, 2009

Trinity Health agreed to pay $205,000 to settle claims that its subsidiary hospital, St. Joseph Mercy Oakland Hospital in Pontiac, MI, misrepresented which healthcare professionals performed certain services, according to a Department of Justice (DOJ) press release.

According to the DOJ, St. Joseph Mercy Oakland Hospital billed Medicare for medical services performed by nurse practitioners, clinical nurse specialists, and physician assistants during the period from January 1, 2001, through December 31, 2004, as though a neonatologist or an oncologist performed the services.

Sandra Fillion, the former director of physician billing at St. Joseph, filed the case under the False Claims Act’s qui tam provision. Fillion will receive will receive $33,825 as her relator's share. Trinity also agreed to pay Fillion $30,000 in attorney’s fees and $60,000 in settlement of any personal causes of action Fillion may have had against Trinity.

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