U.S. sues UPMC for alleged health care fraud and putting patients at risk of complications

The largest healthcare system in Pennsylvania and one of its top physicians are being sued by the federal government for alleged healthcare fraud.

UPMC, its chairman of cardiothoracic surgery and the University of Pittsburgh Physicians group are accused of billing for unnecessary surgeries or surgeries that weren’t performed, submitting false claims to Medicare and Medicaid, and putting patients at risk of serious complications.

The U.S. lawsuit filed Thursday comes after a two-year federal investigation and claims the violations persisted for six years.

Dr. James Luketich, the head of UPMC’s cardiothoracic surgery department in Pittsburgh, performed as many as three complicated surgical procedures at the same time, moving between operating rooms and forcing patients to endure “medically unnecessary” hours of anesthesia, according to the 47-page lawsuit.

Source: U.S. sues UPMC for alleged health care fraud and putting patients at risk of complications / GoErie

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