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Thursday, December 26, 2024

Inova agrees to pay nearly $2.4 million after allegations of improper Medicaid claims - ABC NEWS 4

FALLS CHURCH, Va. (7News) — Friday prosecutors announced a settlement in which one of the largest healthcare systems in the DC area agreed to pay nearly $2.4 million for submitting false claims to Medicaid.

According to the U.S. Attorney’s Office for the Eastern District of Virginia, Falls Church-based Inova voluntarily revealed in written statements that, over a couple year period, Inova submitted improperly modified claims with false information to Medicaid.

The improper claims were submitted between January 1, 2020, and August 31, 2022.

The U.S. Attorney’s Office says Inova performed an internal investigation and found that it had improperly received about $1.6 million from Medicaid.

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The settlement agreement says “one or more” Inova employees caused documents for sterilization and hysterectomy procedures to be improperly changed, and as a result, the documents contained false information.

In the settlement agreement, there is a list of 585 payments from Medicaid that Inova determined needed to be repaid.

They range from very high to very low amounts: One of the listed claims involves $32,114.97 Medicaid paid, while quite a few others are charges of only $5.67.

Click here to view the PDF file.

The settlement says Inova has agreed to pay the Commonwealth of Virginia $1,279,757.31, of which $853,171.54 is restitution.

Inova also agreed to pay the federal government $1,098,973.75,...



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