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Tenet settles false claims allegations for nearly $43 million

Compliance Monitor, April 18, 2012

Tenet Healthcare Corporation agreed to pay $42.75 to settle false claims allegations stemming from the company’s inpatient rehabilitation billing practices, according to an April 10 Department of Justice press release.

Court documents indicate that between May 2004 and December 2007, Tenet billed Medicare for services rendered to patients treated in Tenet’s inpatient rehabilitation facilities across the country who did not meet the medical necessity requirements outlined for intensive rehabilitation programs. Medicare typically pays a higher rate for inpatient rehabilitation services due to the level of care required to manage these patients.

The settlement constitutes the single largest recovery of improper payments to an inpatient rehabilitation facility.

Read more on the Department of Justice website.

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