Health Information Management

News: Facilities cited for inappropriate billing of kyphoplasty

CDI Strategies, June 10, 2010

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Nine hospitals in seven states will pay the United States more than $9.4 million combined to resolve claims that they overcharged Medicare between 2000 and 2008, according to a Department of Justice (DOJ) press release.

Hospitals in Alabama, Indiana, Florida, Michigan, South Carolina, New York, and Minnesota allegedly performed kyphoplasty, a minimally invasive procedure that treats spinal fractures commonly caused by osteoporosis, as inpatient procedures in order to increase their Medicare reimbursement.
 
Nine other hospitals settled kyphoplasty fraud claims allegations in May and September of 2009. The DOJ also reached a $75 million settlement with Medtronic Spine LLC in 2008 for counseling hospitals to perform kyphoplasty procedures on an inpatient basis, instead of the safe, less costly outpatient procedure.



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