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Defendants Admit Practices Resulted in Submission of Several Million Dollars of Inappropriate Claims to Medicare

Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General ("HHS-OIG") New York Regional Office, announced today that the United States filed and settled a civil fraud lawsuit against LENOX HILL HOSPITAL ("Lenox Hill") and its corporate parent NORTHWELL HEALTH, INC. ("Northwell") (together, "Defendants"). The Government's Complaint-in-Intervention (the "Complaint") alleges that Defendants violated the False Claims Act by fraudulently billing Medicare for healthcare services that did not comply with Medicare law. The Complaint specifically alleges that in conjunction with Defendants' employment of Lenox Hill's former chair of the Department of Urology, David B. Samadi ("Samadi"), Defendants submitted claims for: (1) endoscopic procedures that were performed, at least in part, by insufficiently supervised medical residents; (2) robotic surgeries for which, at some point during the surgery, Samadi left the patient improperly unattended in order to supervise a different surgery; (3) medically unnecessary hospital services; and (4) designated health services referred to Lenox Hill by Samadi when his compensation arrangement violated the federal Stark Law.

Read more on www.justice.gov

Action Details

  • Date:November 8, 2019
  • Agency:U.S. Attorney
  • Enforcement Types:
    • Criminal and Civil Actions

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