St. Elizabeth’s Hospital of the Hospital Sisters Health System, a multi-institutional healthcare system that sponsors 15 hospitals in 14 communities across Illinois and Wisconsin as well as an integrated physician network, is under fire.
The system agreed to pay $12.5 million to resolve allegations from a whistleblower lawsuit which alleges it committed billing errors that may have resulted in an overpayment for services, according to a release from the U.S. Attorney’s Office for the Central District of Illinois.
The whistleblower lawsuit alleges that the hospital submitted these claims for urgent care services billed at a higher level of service, according to the news release. When the errors were brought to the attention of St. Elizabeth, the hospital fully cooperated with the Department of Justice’s investigation.
St. Elizabeth is not admitting any wrongdoing but has agreed to settle the claims to avoid the expense and uncertainty of litigation. The claims resolved by the settlement are allegations only, and there has been no determination of liability, the release said.
Under the False Claims Act, private citizens can bring suit on behalf of the United States and share in any recovery.
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