Yesterday`s agreement regulates civil charges made by the Department of Justice last year and has joined several whistleblowing cases, about alleged bribes paid to doctors and “cost reports” — reimbursement reports sent by the company to Medicare, Medicaid and other federal health programs for services, capital costs, janitorial labor and management of HCA`s health care facilities. HCA President and Chief Executive Jack O. Bovender Jr. said he hoped the colony would close a dark chapter in the company`s history. The company has taken steps to ensure it has a “corporate integrity,” he noted, and a “culture focused on providing quality patient care to patients in the communities we serve.” HCA shares closed at $42.90, up 3.4 percent after the announcement. The agreement, which has yet to be approved by department officials, indicates the likely end of an investigation into allegations, backed by a number of informants, that the company has systematically cracked down on Medicare and other public insurance programs. It comes just two years after the healthcare giant, formerly known as Columbia/HCA Healthcare Corp., agreed to pay $840 million to the government to settle criminal and civil charges that it defrauded Medicare. She also agreed to plead guilty, to pay bribes to doctors to refer patients to their institutions. HCA recognized a long list of royalties, including over-reporting and overspending to the government for payment; exaggerate the severity of diagnoses to increase Medicare reimbursement; illegally structuring business transactions so that Medicare has borne the cost of business expenses to the level of business; and to give doctors bribes for patient shipments.
Twice as much, in 2015 and 2017, HCA distributed millions to settle other claims, both related to ambulance fraud. The first case involving four hospitals near HCA in Florida led to a payment of $2.37 as a result of a Medicare billing system billing billing system for ambulance trips that do not appear. The second, which also involved four institutions, directly violated anti-kickback status by entering into swapping agreements in which hospitals received free or severely reduced emergency transport in exchange for transfers; HCA paid $8.6 million to solve this case. HCA had to enter into an 8-year federal agreement on the integrity of the company as a result of the massive complaint and therefore had to undergo frequent and thorough audits that also brought federal rules into compliance. However, it did not take long for problems to arise; In 2004, an alarming number of heart stents were implanted in a Florida hospital under HCA. Following an internal review, it was found that more than 43% of the procedures were outside of “reasonable and expected medical practice”. HCA took the matter to the authorities in accordance with the provisions of the federal agreement and held all staff accountable. The result was a civil defamation lawsuit between the conglomerate and the defendants, who claimed that their reputation had been tarnished by the HCA`s attempt to avoid the effects of the federal state. In addition to the fines, June Gibbs Brown, Inspector General of Health and Human Services, said HCA enters into an agreement with its department on the integrity of the company, which requires the company to make significant compliance efforts over the next eight years. The agreement provides in part for improved verification and review of stationary encoding, laboratory billing, outpatient hospital billing and financial relations with physicians.
Dr. Frist, President and CEO of HCA, said the agreement would help “enable us to move forward and focus on providing quality patient care.” After its first agreement fifteen years ago, the government structured the massive agreement so that the Corporation Hospital of America would not