- Chief Compliance Officer and VP of Legal Affairs, Arrow Electronics
By 
Kyle Brasseur2023-06-30T14:22:00
County-organized health system CenCal Health and three other healthcare providers agreed to pay a total of $68 million across settlements with the Department of Justice (DOJ) regarding alleged false claims submitted under California’s Medicaid program, Medi-Cal.
CenCal will pay $49.5 million, the DOJ announced in a press release Thursday. Among the other providers, not-for-profit hospital network Cottage Health System will pay $9 million, nonprofit outpatient clinic Sansum Clinic will pay $4.5 million, and nonprofit Community Health Centers of the Central Coast (CHC) will pay $3.15 million. An additional $1.85 million total will be paid back by the three providers to the state of California to round out the settlements.
CenCal, Cottage, Sansum, and CHC “knowingly submitted or caused the submission” of false claims to Medi-Cal for services purportedly provided under the program’s “Adult Expansion” coverage, according to the DOJ. These alleged submissions, occurring across varied periods between 2014 and 2016, were not allowed medical expenses, pre-determined amounts that did not reflect the fair-market value of any services provided; and/or duplicative of services already required to be rendered, the DOJ alleged.
THIS IS MEMBERS-ONLY CONTENT. To continue reading, choose one of the options below.
News and analysis for the well-informed compliance or audit exec. Select an option and click continue.
Annual Membership $499 Value offer
Full price one year membership with auto-renewal.
Membership $599
One-year only, no auto-renewal.
Martin’s Point Health Care will pay nearly $22.5 million to settle allegations it violated the False Claims Act by knowingly submitting inaccurate diagnosis codes for Medicare enrollees to increase reimbursements.
Booz Allen Hamilton agreed to pay approximately $377.5 million as part of a settlement with the Department of Justice regarding alleged False Claims Act violations stemming from improper billing of commercial and international costs in government contracts.
Electronic health record technology vendor NextGen Healthcare agreed to pay $31 million as part of a settlement announced by the Department of Justice for allegedly misrepresenting the capabilities of its software.
USAA Federal Savings Bank has been hit with its third cease and desist order from the Treasury Department’s Office of the Comptroller of the Currency in the past five years for failing to correct unsafe and unsound banking practices.
Becton Dickinson medical device company will pay $175 million for “repeatedly” misleading investors about its Alaris infusion pump, a product the company knew was flawed and was sold without the required patient-safety approvals, the Securities and Exchange Commission said.
The Securities and Exchange Commission charged bankrupt fashion retailer Express with failing to disclose nearly $1 million in perks to a former chief executive, but did not levy a financial penalty thanks to its cooperation, the SEC said.
