Loma Linda University Medical Center - Medicare Fraud

Medicare Fraud

Loma Linda University Medical Center and subsidiary entities have been involved in several Medicare fraud lawsuits from the federal government.

Loma Linda University Behavioral Medicine Center paid 2.2 million dollars to settle a federal lawsuit that the organization had fraudulently over-billed federal health insurance programs. The lawsuit alleged that the center had worked with its billing service to prepare two different cost reports, one for internal use and an inflated one to bill Medicare.

A group of 20 physician corporations paid 2.2 million dollars to settle a federal lawsuit over fraudulent Medicare billings reviewed under the Physicians at Teaching Hospitals (PaTH) initiative. The lawsuit alleged that the hospital had been billing Medicare for procedures done by residents and interns as if they had been done by the attending physicians.

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