San Antonio Baptist Health System pays $3.7M to settle Medicare fraud suit
SAN ANTONIO — Baptist Health System has paid nearly $3.7 million to the Justice Department to settle a whistle-blower lawsuit that alleged that the medical provider defrauded the Medicare program, U.S. Attorney Robert Pitman announced Monday.
More than $660,000 of the settlement goes to Norma G. Rivera, a former insurance auditor for Baptist who filed the “qui tam,” or whistleblower, lawsuit.
The lawsuit was filed in federal court in San Antonio under seal and made public Monday after the settlement had been reached.
“The settlement resolves a qui tam action alleging certain claims submitted to Medicare from 2003-2008 were submitted to Medicare without complete information about other payer sources,” Baptist said in a statement Monday. “The settlement was unrelated to the health care services, which met quality and medical necessity standards.”
More at http://www.mysanantonio.com/news/local/article/Baptist-pays-3-7M-to-settle-Medicare-fraud-suit-4991573.php .
