Bon Secours Mercy Health will pay over $1 million to settle accusations that it falsely diagnosed patients with sleep apnea and submitted claims to Medicare related to treatment.
Bon Secours Mercy Health System was formed in 2018 through a merger between Mercy Health and Bon Secours Health System. Prior to this, Bon Secours Health System allegedly billed Medicare between 2013 and 2017 for tests and equipment used to care for patients that were falsely diagnosed with sleep apnea, said officials with the U.S. attorney’s office.
Brought under the False Claims Act, the case against it alleged that the healthcare system inaccurately reported test results and produced reports on sleep tests that were diagnosed by noncertified sleep technicians, according to The Enquirer.
"Many of Mercy's tests were inaccurately scored, did not qualify for Medicare reimbursement and resulted in medically unnecessary claims for CPAP and BiBAP machines,” said U.S. District Attorney Kenneth Parker of the Southern District of Ohio in a statement on Friday while announcing the settlement.
The settlement was unsealed this week in federal court and says that Bon Secours Mercy Health has agreed to pay $1,029,434.
A spokesperson for Bon Secours Mercy Health told The Enquirer that the company does not comment on litigation.
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