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What Is The Duration Of The Dignity Health Corporate Integrity Agreement

23:24 20.12.2020 Napsal: petr.stibor

The comparison explains allegations that 13 Dignity health hospitals knowingly overheated Medicare and TRICARE, which are part of the military health program, in order to obtain hospital services for patients who should have been treated on a less expensive outpatient basis. Dignity also entered into an enterprise integrity agreement with the U.S. Department of Health and Human Services – Office of Inspector General (HHS-OIG), which required the company to make significant compliance efforts over the next five years. „These regulations demonstrate this office`s commitment to protecting our health programs,“ said U.S. Attorney General Melinda Haag for the Northern District of California. „We will continue to act aggressively and appropriately against false allegations that accuse of being misappropriated in the health sector.“ This regulation illustrates the government`s focus on combating health fraud and is a further achievement of the Health Care Prevention and Environmental Action Team (HEAT) initiative, announced in May 2009 by the Attorney General and the Minister of Health and Human Services. The partnership between the two divisions has focused on reducing and preventing medicare and Medicaid`s financial fraud through enhanced cooperation. One of the most powerful tools in this effort is the False Claims Act. Since January 2009, the Department of Justice has recovered a total of more than $23 billion through Cases under the False Claims Act, of which more than $14.8 billion has been recovered in cases involving fraud against federal health programs.

The comparison explains allegations that 13 Dignity health hospitals knowingly overheated Medicare and TRICARE, which are part of the military health program, in order to obtain hospital services for patients who should have been treated on a less expensive outpatient basis. Given that hospitals generally receive significantly higher payments under federal health programs for hospital care than for outpatient care, the admission of many patients who do not require hospitalization can, as claimed here, result in significant financial damage to federal health programs. „Charging the government for more expensive hospital services that patients don`t need is wasting the country`s essential health costs,“ said Assistant Attorney General Joyce R. Branda for the Justice Department`s civil division. „This department will continue its work to end the misuse of the country`s health resources and ensure that patients receive the most appropriate care.“ As part of today`s agreement, Dignity entered into an enterprise integrity agreement with the U.S. Department of Health and Human Services – Office of Inspector (HHS-OIG), which required the company to make significant compliance efforts over the next five years. Under the agreement, Dignity is required to retain independent review bodies to verify the accuracy of the company`s rights to services provided to recipients of the federal health program. Under the agreement, Dignity is required to retain independent review bodies to verify the accuracy of the company`s rights to services provided to recipients of the federal health program. „Hospitals that try to increase profits by allowing patients to make costly and unnecessary hospitalizations will be held accountable,“ said Special Representative Ivan Negroni of HHS-OIG`s San Francisco office.