Texas Dentists for Medicaid Reform

NEW PHONE NUMBER
For more information call (512) 487-7584

  • Home
  • Issues
  • * Medicaid Difficulty Alert *
    • About the Medicaid Difficulty Alert
    • Alert Form
  • Articles
    • TDMR articles
    • Medicaid Media
    • Compliance Articles
  • Archive
    • The Facts About the Medicaid Orthodontic Scandal 2007 to 2012
    • Antoine Dental Case
    • HHSC-OIG Archive 2012 to 2014
      • TMHP
      • Harlingen Family Dentistry Case
        • Further HFD articles
      • OIG Never Returns Funds
      • Webinar March 19 2012
      • 2008 TMHP Audit by OIG
      • 2012 TMHP Audit by OIG
      • OIG Legislative Testimony
        • OIG Testimony March 19 2013
        • OIG Testimony February 13 2013
        • OIG Testimony February 4 2013
        • OIG Testimony January 30 2013
      • Jack Stick Arrest for DWI
    • Due Process Archive
      • Survey Results
      • Committees
        • Hearing Videos
      • TDMR Submission
      • HB 1536/SB 785
        • House Committee on Human Services
        • Written Testimony
        • Attorney Testimony Videos
        • Dental Provider Testimony Videos
      • SB 1803
        • Overview
        • Bill Moves to House
        • Public Testimony Videos
        • Passes House Committee
        • Bill Changed Before House Vote
        • SB 1803 Has Passed the House!
      • Other Proposed Bills
      • Due Process Legal Articles
      • Legislative Media
      • Media Archive
  • About
    • Dr. Juan D. Villarreal
    • Dr. Paul Dunn
    • Gregory Ewing
  • Contact
You are here: Home / Media / Oklahoma City Hospitals Agree to Pay $2.8 Million to Settle Allegations of Submitting False Claims to Medicaid

Oklahoma City Hospitals Agree to Pay $2.8 Million to Settle Allegations of Submitting False Claims to Medicaid

June 3, 2019 By TDMR Leave a Comment

OKLAHOMA CITY – OKLAHOMA HEART HOSPITAL, LLC, AND OKLAHOMA HEART HOSPITAL SOUTH, LLC, have agreed to pay $2,800,000 to settle civil claims stemming from allegations that they submitted false claims to Medicaid, announced First Assistant U.S. Attorney Robert J. Troester.

Oklahoma Heart Hospital, LLC, and Oklahoma Heart Hospital South, LLC (collectively “OHH”) are limited liability companies organized in the State of Oklahoma. They own and operate the Oklahoma Heart Hospital and Oklahoma Heart Hospital South, which are located in Oklahoma City.

The United States and the State of Oklahoma allege that from January 1, 2010, through December 31, 2016, OHH caused false claims to be submitted to Medicaid for certain nonemergency prescheduled cardiovascular stent procedures under Diagnosis Related Group Codes 247 and 249. The claims were false because OHH billed the procedures as inpatient services to increase its revenue when the procedures should have been billed and reimbursed as outpatient services.

This $2.8 million settlement resolves part of the allegations filed in a lawsuit by a whistleblower who formerly worked for OHH. The lawsuit was filed in federal district court in Oklahoma City under the qui tam, or whistleblower, provisions of the False Claims Act, which permit private individuals to sue on behalf of the United States for false claims and to share in the recovery. The Act also allows the government to intervene in the lawsuit. In this case, the government intervened in the allegations resolved by this settlement, which will provide funds to both the federal government and to the State of Oklahoma. The other allegations raised in the lawsuit will be dismissed as part of the settlement.

In reaching this settlement, OHH did not admit liability, and the government did not make any concessions regarding the legitimacy of the claims. The agreement allows the parties to avoid the delay, expense, inconvenience, and uncertainty involved in litigating the case.

This case was investigated by the U.S. Department of Health and Human Services, Office of Inspector General and Offices of Investigations and Audit Services; FBI Oklahoma City; and the Oklahoma Attorney General’s Medicaid Fraud Control Unit. The case was prosecuted by Assistant United States Attorneys Scott Maule and Ronald R. Gallegos and by Assistant Oklahoma Attorney General Niki S. Batt.

Source: Oklahoma City Hospitals Agree to Pay $2.8 Million to Settle Allegations of Submitting False Claims to Medicaid / US Attorney’s Office Western District of Oklahoma

Share this:

  • Click to share on Facebook (Opens in new window)
  • Click to share on Twitter (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)
  • Click to print (Opens in new window)
  • More
  • Click to share on Reddit (Opens in new window)
  • Click to share on Pinterest (Opens in new window)
  • Click to share on Tumblr (Opens in new window)

Filed Under: Media Tagged With: False Claims Act, false claims to medicaid, medicaid fraud

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Search the TDMR Website

Most Viewed Posts & Pages

  • UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines
    UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines
  • Judge Orders Dr. Richard Malouf to Pay Texas Back $12 Million for Medicaid Fraud
    Judge Orders Dr. Richard Malouf to Pay Texas Back $12 Million for Medicaid Fraud
  • What are the Issues?
    What are the Issues?
  • Fort Worth Orthopedist Indicted for Healthcare Fraud
    Fort Worth Orthopedist Indicted for Healthcare Fraud
  • Woman claims dentist pulled wrong tooth
    Woman claims dentist pulled wrong tooth

Receive Updates on TDMR Activities

Recent Comments by Readers

  • Spence on Woman claims dentist pulled wrong tooth
  • Spence on Woman claims dentist pulled wrong tooth
  • Nilar Vargas on Dentists cleared to administer COVID-19 vaccine in California
  • TDMR on UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines
  • Angela on UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines
  • Marjaneh on UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines

Recent Media of Interest

Woman claims dentist pulled wrong tooth

January 16, 2021

Compounding Pharmacy Mogul Sentenced for Multimillion-Dollar Health Care Fraud Scheme

January 16, 2021

Man Charged with $5 Million COVID-Relief Fraud

January 16, 2021

Justice Department Recovers Over $2.2 Billion from False Claims Act Cases in Fiscal Year 2020

January 14, 2021

Longview clinic agrees to pay more than $330,000 in Medicare fraud case

January 12, 2021

Texas legislature opens amid ongoing pandemic, political unrest

January 12, 2021

Latest TSDBE Newsletter

January 11, 2021

Dental workers anxiously wait for COVID-19 vaccine

January 8, 2021

Dentists cleared to administer COVID-19 vaccine in California

January 6, 2021

Stanford Healthcare Loses in Appeals Court, Accused of Alleged $468 Million Dollar Healthcare Billing Fraud

January 5, 2021

CEO of inpatient treatment center admits to Medicaid billing fraud

January 5, 2021

Despite what dentists may be hearing, now is a great time to buy a practice

January 4, 2021

Physician sentenced to prison for fraud that led to deaths

January 1, 2021

Owner of Texas hospice chain gets 20 years in prison for $150M fraud

December 30, 2020

Texas hospital pays $48M to settle false claims allegations

December 21, 2020

Florida physician pleads guilty to $29M fraud

December 21, 2020

More Articles...

Copyright © 2021 · All Rights Reserved. Texas Dentists for Medicaid Reform · Privacy Policy