$12M FCA Suit Over 'Assembly Line' Care Settled By Hospital

Law360 (November 8, 2019, 4:26 PM EST) -- Northwell Health Inc. and its affiliate will pay $12.3 million to settle claims the New York teaching hospital violated the False Claims Act by submitting Medicare claims for procedures only partially performed or supervised by attending surgeons, the U.S. Department of Justice announced Friday.

The settlement, filed in New York federal court, covers claims that Lenox Hill Hospital billed for endoscopic and robotic procedures that were insufficiently supervised by medical residents instead of the attending physician, and that it administered unnecessary and improperly documented treatments in violation of Medicare law.

The Manhattan teaching hospital and former chairman of its urology department...

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