NEW HAVEN, CT —Yale New Haven Health Services and Northeast Medical Group has paid more than half a million dollars to "resolve allegations" that both violated the False Claims Acts for submitting false claims to Medicare and Medicaid.
U.S. Attorney for Connecticut Vanessa Roberts Avery and CT Attorney General William Tong announced that Yale and Northeast entered into a civil settlement agreement with the federal and state governments and have paid $560,718.48. It was alleged that both had billed for physician services that should have been billed by mid-level providers at a lower reimbursement rate, per officials.
Yale New Haven Health Services Corp. is a nonprofit health system that owns several acute-care hospitals, including Bridgeport Hospital. Northeast Medical Group, Inc., employs internal medicine hospitalist physicians and mid-level providers at Bridgeport Hospital. Northeast Medical is an affiliate of Yale, and outsources its billing, coding, and compliance to Yale, it was noted in a news release from the Justice Department.
The federal and state governments allege that, between July 2014 and June 2020, Yale and Northeast Medical violated the federal and state False Claims Acts by submitting false claims to Medicare and Medicaid for evaluation and management services billed by Northeast Medical hospitalist physicians to Bridgeport Hospital patients that did not satisfy certain...
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