OKLAHOMA CITY – Oklahoma Heart Hospital South, LLC ("OHHS"), has paid $1,151,770.50 to settle civil claims stemming from allegations it violated the False Claims Act by submitting false claims to Medicare, announced United States Attorney Robert J. Troester.
OHHS is an Oklahoma limited liability company that owns and operates the Oklahoma Heart Hospital South, which is an acute care hospital located in Oklahoma City. Following an internal review and audit, OHHS discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues. Thereafter, the United States investigated the disclosures and issues raised by OHHS. Throughout the investigation, and to its credit, OHHS cooperated with the United States Attorney’s Office and the U.S. Department of Health and Human Services Office of Inspector General in the investigation.
The voluntary disclosure and investigation revealed that from June 1, 2013, through May 31, 2019, OHHS submitted claims to Medicare for Intensive Cardiac Rehabilitation ("ICR") services provided to Medicare beneficiaries. Before billing Medicare for these services, OHHS was required to have a physician complete and sign an individualized treatment plan ("ITP") for the patient. If the patient was going to receive ICR for longer than 30 days, a physician must complete and sign updates to the ITP every 30 days thereafter. The United States alleges that claims for ICR services submitted by...
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