Thursday, May 29, 2014

King’s Daughters Medical Center Agrees to Pay Settlement



King's Daughters Medical Center in Ashland has agreed to pay the U.S. Government $40.9 million to settle allegations of fraudulent billing.

The hospital was accused of making millions of dollars by falsely billing federal health care programs for heart procedures that
were performed on patients who didn't medically need them.

The government claimed between 2006 and 2011, KDMC maximized
reimbursements from Medicare and Kentucky Medicaid by billing for numerous unnecessary coronary stents and diagnostic catheterizations. The government also alleged that the physicians falsified medical records in order to justify the unnecessary procedures.

The settlement amount roughly doubles the amount of money
KDMC received as a result of the alleged fraudulent billing for the unnecessary services.

The Commonwealth of Kentucky will receive $1,018,380 which for the
state's share of the recovered Medicaid funds. The Medicaid program is funded jointly by the federal and state governments.