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Medical Device-Maker Allegedly Showed Hospitals How to Cheat Medicare; Hospital Industry Looks to Pass Blame

By Nolan and Auerbach

Medical device-maker Kyphon allegedly trained its sales force to coach hospitals how to improperly schedule and bill kyphoplasty as an inpatient procedure. By billing as an inpatient procedure, the hospitals were able to wrongfully obtain additional government health care dollars for inpatient care that was typically a 1- 2-hour day surgery. After two Kyphon exposed this improper practice in a qui tam action, Kyphon settled for $75 million in 2008. At the time of the Kyphon settlement, questions read more

Full post as published by Medicare Fraud 101 on February 04, 2011 (boomark / email).