Houston medical center fined $21 million for Medicare fraud scheme

A Houston-based medical company care hospital has agreed to pay more than $21 million to settle a federal lawsuit alleging it defrauded Medicare for years.

Cornerstone Hospital Medical Center was a long-term care hospital that specialized in “providing extended medical and rehabilitative care to individuals who qualified as clinically complex and possessed multiple acute and/or chronic conditions,” according to a Wednesday release from the U.S. Department of Justice’s Southern District of Texas.

A whistleblower’s tip in 2018 led to a years-long investigation into Cornerstone’s Medicare billing history. “the investigation concluded that from Jan. 1, 2012, through Dec. 31, 2018, Cornerstone Medical Center billed for services not supported by the patients’ diagnosis or medical records, and billed for services that were either not rendered or were so inadequate they were worthless (in some cases, resulting in harm to patients.),” DOJ officials wrote in the release.

Source: Houston medical center fined $21 million for Medicare fraud scheme / CHRON

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