Healthcare supplier to pay $1 million for Medicare claims associated to incorrect sleep apnea diagnoses

CINCINNATI (WXIX) — An -based healthcare provider has agreed to pay $1 million in a settlement under the False Claims Act that was unsealed this week, according to U.S. Attorney Kenneth Parker.

Bon Secours Mercy Health, Inc., based in Cincinnati, operates hospitals, and other healthcare facilities in several states and Ireland.

According to the settlement, Mercy filed Medicare payment claims from 2013 to 2017 by misdiagnosed patients with apnea. Mercy charges for tests and devices to treat apnea.

Parker said the complaint detailed allegations that Mercy inaccurately reported test results and created sleep test reports with the resulting diagnoses made by uncertified sleep technologists.

The US attorney said many of Mercy’s tests were inaccurately scored, ineligible for Medicare reimbursement, and resulted in medically unnecessary claims for CPAP and BiPAP machines.

Mercy has agreed to pay $1,029,434, according to Parker.

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