January 7, 2020

DOJ files lawsuit against Community Health Network

Article origination IPBS-RJC
Lauren Chapman/IPB News

Lauren Chapman/IPB News

The Department of Justice has filed a lawsuit against Community Health Network alleging the central Indiana health care system submitted false claims to Medicare.

The DOJ alleges the network paid physicians well above market value for referrals and paid bonuses to physicians if they referred a certain number of patients to the hospital.

According to the suit, Community Health violated federal law. The Stark Law prohibits hospitals from billing Medicare for services referred by a doctor with whom the hospital has an improper financial relationship. The DOJ alleges Community Health submitted claims to Medicare knowing the claims were not eligible for payment. The government wants the money repaid.

In a written statement, Community Health says the network has fully cooperated with the government’s requests. The network called the claim “meritless” and a waste of government resources.

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