Home 5 Articles 5 Ohio Lab Company Settles Inpatient Double Billing Claims for $142.7K

Ohio Lab Company Settles Inpatient Double Billing Claims for $142.7K

by | Mar 28, 2022 | Articles, Essential, Lab Compliance Advisor, Labs in Court-lca

Case: Cincinnati-based American Health Associates, Inc. (AHA) has agreed to pay $142,718 to settle charges of falsely billing lab tests. The government claims that between 2015 and 2019, AHA billed Medicare for lab tests performed by its MedLab services company on inpatients at Access Hospital Dayton. Significance: Medicare reimbursement for inpatient stays already covers lab tests performed on the patient during the stay. As a result, knowingly billing for those tests separately violates the False Claims Act. In Nov. 2021, Access Hospital Dayton settled charges for its role in the matter for $374,780, bringing the federal government’s total recoveries for the case to $517,498.

Case: Cincinnati-based American Health Associates, Inc. (AHA) has agreed to pay $142,718 to settle charges of falsely billing lab tests. The government claims that between 2015 and 2019, AHA billed Medicare for lab tests performed by its MedLab services company on inpatients at Access Hospital Dayton. Significance: Medicare reimbursement for inpatient stays already covers lab tests performed on the patient during the stay. As a result, knowingly billing for those tests separately violates the False Claims Act. In Nov. 2021, Access Hospital Dayton settled charges for its role in the matter for $374,780, bringing the federal government’s total recoveries for the case to $517,498.

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