UCHealth Agrees To Pay $23M To Resolve Allegations Of Fraudulent Billing For Emergency Department Visits

University of Colorado Health, known as UCHealth and headquartered in Aurora, Colorado, has agreed to pay $23 million to resolve allegations that it violated the False Claims Act in seeking and receiving payment from federal health care programs for visits to its emergency departments, by falsely coding certain Evaluation & Management (E&M) claims submitted to the Medicare and TRICARE programs.

Although UCHealth entered into this health care fraud settlement with the United States, it refused to agree to compliance-related oversight with HHS-OIG through a Corporate Integrity Agreement. Therefore, as part of the Settlement Agreement, OIG reserved the right to exclude UCHealth for the alleged conduct resolved in the Settlement Agreement. Because UCHealth refused appropriate integrity obligations, OIG may use various tools to monitor UCHealth’s compliance with the Federal health care programs.

Read more on www.justice.gov

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