Whistleblower Receives Over $4.1 Million for Reporting Medically Unnecessary Neurosurgery Procedures Fraudulently Billed to Federal Healthcare Programs

April 14, 2022. The United States Department of Justice settled a case against a healthcare and hospital system for performing medically unnecessary neurological surgeries and billing federal healthcare programs for them. Under the terms of the settlement, Providence Health & Services Washington (Providence) paid $22,960,458, divided among federal and state Medicaid, the United States, and the State of Washington. This settlement represents the largest healthcare fraud settlement to date in the Eastern District of Washington. The whistleblower was the former Medical Director of Neurosurgery in the hospital system, and they will receive $4,197,734 of the settlement.

Source: Whistleblower Receives Over $4.1 Million for Reporting Medically Unnecessary Neurosurgery Procedures Fraudulently Billed to Federal Healthcare Programs / The National Law Review

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