Health Information Management

News: BayCare Health settles fraud allegations

CDI Strategies, December 6, 2012

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More than $10 million: That’s what Florida-based BayCare Health System agreed to pay the federal government to settle a four-year investigation of its billing for cardiac and vascular procedures, according to a Department of Justice (DOJ) press release.

The government alleges that facilities owned by BayCare inappropriately billed for inpatient services that could have been performed on an outpatient basis or with observation services.
 
“Overbilling the government for routine procedures wastes valuable resources that could be used to care for other patients,” Stuart F. Delery, Principal Deputy Assistant Attorney General for the Justice Department’s Civil Division said in the release.
 
For its part, however, BayCare admitted no wrongdoing but rather reflect the confusing nature of billing rules, according to an article in the Tampa Bay Times.



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