Wahiawa General Hospital is mandated to pay $451,428 to settle two lawsuits alleging that the hospital improperly billed several healthcare programs.
According to the Justice Department, the Central Oahu hospital incorrectly billed the Medicare, TRICARE and state Medicaid programs for services provided by resident doctors without the proper level of supervision required by federal law.
Those faulty claims were alleged to have taken place between April 2008 and March 2011 by resident doctors in the Family Practice Residency Program.
The claims indicate that the hospital did not provide adequate documentation of the required supervision by the program's teaching faculty, where the coding of services performed could not be confirmed by the doctors' entries in the patients' medical records.
The claims in this suit were born of a whistleblower lawsuit by a doctor working at the Physicians Center of Mililani, an out-patient clinic operated by Wahiawa General.
While the hospital agreed to the settlement, it did not admit liability. It will be responsible to pay the federal government the agreed amount of money as well as $75,000 in attorney's fees and costs to the attorneys who represented the doctor.
In this case, the doctor who initiated the lawsuits will receive $84,642.75 of the $451,428 settlement payment.
Wahiawa General Hospital pays $451,428 in improper billing suit
Lawsuits born of whistleblower suit initiated by doctor working at hospitalUPDATED 1:32 PM HST Aug 30, 2013
Wahiawa General Hospital is mandated to pay $451,428 to settle two lawsuits alleging that the hospital improperly billed several healthcare programs.Recommended