United States of America et al v. Prime Healthcare Services Inc et al

  1. August 03, 2018

    Prime Healthcare Signs $65M FCA Settlement Over 'Upcoding'

    Prime Healthcare Services Inc. and its CEO will pay $65 million to settle a whistleblower suit alleging that the hospital system violated the False Claims Act by systematically "upcoding" the care of Medicare patients at its California hospitals, the U.S. Department of Justice announced Friday.

  2. January 02, 2017

    Health Care Cases To Watch In 2017

    Pivotal court developments in 2017 will profoundly affect fraud liability, Medicare reimbursement and billions of dollars in Affordable Care Act subsidies for doctors, hospitals and health insurers, experts say. Here's a look at major cases to watch.

  3. December 21, 2016

    Prime Healthcare Looks Unlikely To Shake Feds' Fraud Suit

    A California federal judge on Wednesday tentatively denied Prime Healthcare's bid to dismiss the government's False Claims Act suit alleging the hospital chain charges Medicare for unnecessary inpatient admissions, saying prosecutors sufficiently alleged the existence of an intentional scheme to defraud Medicare.

  4. September 02, 2016

    Prime Healthcare Pans DOJ Fraud Suit Over Inpatient Care

    California hospital chain Prime Healthcare is attacking a U.S. Department of Justice complaint over allegedly unnecessary inpatient admissions, saying the False Claims Act suit improperly second-guesses physician judgment and wrongly relies on statistical sampling.

  5. June 24, 2016

    DOJ Claims 'Systematic' Fraud In Prime's Patient Admissions

    Prime Healthcare Services Inc., pretending to turn around struggling hospitals, ran a systematic scheme to defraud the federal government by forcing doctors to provide medically unnecessary services to maximize Medicare reimbursements, the U.S. Department of Justice told a California federal court on Thursday.

  6. May 26, 2016

    Feds Join $50M Calif. FCA Suit Against Prime Healthcare

    The federal government joined a $50 million False Claims Act suit alleging Prime Healthcare Services Inc. overcharged Medicare and Medicaid with phony admissions information at California hospitals, saying Wednesday Prime’s alleged fraudulent billing practices are unfair to taxpayers.

  7. November 20, 2014

    Prime Healthcare Can't Slip $50M Medicare Billing FCA Suit

    A California federal judge on Thursday rebuffed Prime Healthcare Services Inc.'s bid to dismiss a False Claims Act suit alleging the hospital group overcharged Medicare and Medicaid over $50 million by falsifying admissions information, accepting a government statement that the allegations weren't public before the suit was filed.

  8. January 08, 2014

    CORRECTED: Prime Healthcare Hit With $50M Medicare Overbilling Suit

    Prime Healthcare Services Inc. overcharged Medicare and Medicaid about $50 million for patient stays by deliberately falsifying admissions information, an employee whistleblower alleges in a False Claims Act suit unsealed Tuesday. (Correction: An earlier story incorrectly reported the FCA allegation value. The error has been corrected.)