Geoffrey S. Berman, U.S. Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent on charge of the U.S. Department of Health and Human Services Office of Inspector General (“HHS-OIG”) today announced that the United States has filed a civil fraud action against LENOX HILL HOSPITAL (“Lenox Hill”) and its parent company NORTHWELL HEALTH. INC. (Northwell) (together “Respondent”). The government`s complaint (the “Complaint”) alleges that the defendants violated the False Claims Act by fraudulently charging Medicare for health services that did not comply with Medicare. In particular, the complaint asserts that, in connection with the employment of Lenox Hills, former chair of the department of urology, David B., the defendants. Samadi (“Samadi”), filed claims for: (1) endoscopic procedures performed, at least in part, by insufficiently monitored medical residents; (2) robotic operations in which Samadi, at some point during the operation, left the patient unattended to monitor another operation; (3) medically unnecessary hospital care; and (4) the designated health services, which were referred by Samadi to Lenox Hill, in violation of federal law by his indemnification agreement.
The U.S. District Attorney in Manhattan has filed a civil fraud lawsuit against Lenox Hill Hospital and its parent company Northwell Health Inc. The government`s complaint alleged that the defendants violated the False Claims Act by fraudulently charging Medicare for health services that did not comply with Medicare. The complaints allege that this is a “conspiracy to fraud” carried out by Dr. Samadi and executives and administrators employed by the defendants of the hospital, as well as non-medical defendants, whose purpose was to increase and inflate the volumes of urological operations, hospitalizations, anesthesia services and medical services, in order to increase billing revenues, the benefits of the health system as well as the doctor`s income and compensation. swell. The alleged conspiracy included (1) the fraudulent billing of patients, including plaintiffs, for urological operations performed on unsupervised resident plaintiffs, to whom Dr. Samadi was not present for “critical or significant parts of the operations” and/or “all consideration” during the endoscopic/laparoscopic operations performed at o.R.
21, given that Mr. Samadi performed simultaneously or simultaneously laparoscopic prostatectomy (RALP) operations in O.R. 25; (2) fraudulently place patients, including applicants, under general anaesthesia without medical necessity and for excessively long periods, including to conceal fraud, and to charge such patients for general anaesthesia services that were medically unjustifiable and excessively prolonged; (3) fraud by patients, including applicants, for operations, anesthesia services, medical care and hospitalizations that took place without appropriate consent; (4) Fraud of patients, including complainants, for surgical operations, anesthesia services and related medical treatments by establishing fraudulent medical records (e.g.B. operation reports, anesthesia records, operational records, etc.), which incorrectly indicate that Dr. Samadi conducted the operation or was present during the operation, including to conceal fraud; (5) Fraud of patients, including complainants, by the speed that Mr. . .