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W.Va. hospital to pay more than $300K for Medicare fraud

Newsroom@DominionPost.com 

CLARKSBURG — U.S. Attorney Bill Powell has announced that Grant Memorial Hospital in Petersburg has agreed to pay $320,175.71 for false medical claims.

According the settlement, Grant Memorial Hospital filed false claims to Medicare, Medicaid, TRICARE, VA, and Railroad Retirement programs from September 2014 to March 2016. The claims were for outpatient and inpatient services and items using the National Provider Identifier number and name of a credentialed physician, when, in fact, the services and items were actually provided by a non-credentialed physician.

“This case was the result of the hospital recognizing the mistake and bringing it to the attention of the federal government,” Powell said. “I commend the hospital management for ensuring that this wrong was righted. All medical providers should take note, and when a mistake in billing is made, report the issue immediately.” 

The hospital disclosed the claims in February 2019, pursuant to the Office of Inspector General of the Department of Health and Human Services self-disclosure protocol.

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