South Carolina Hospital System to Pay $36.5 Million to Settle Allegations Under the False Claims Act

St. Francis Physician Services, Inc., St. Francis Hospital, and Bon Secours St. Francis Health System, Inc., (collectively, “St. Francis”), owner and operator of the St. Francis healthcare system, a Section 501(c)(3) charitable organization in Greenville, South Carolina, has agreed to pay $36.5 million to resolve allegations that it violated the False Claims Act, the Federal Stark Law, and the Federal Anti-Kickback Statute (“AKS”) by making payments to orthopedic surgeons that were tied to the volume or value of referrals.

The settlement resolves allegations that St. Francis caused the submission of false claims to Medicare and to TRICARE as a result of an unlawful contractual payment structure between St. Francis and Piedmont Orthopedic Associates (“POA”), whereby POA’s compensation was tied to the volume or value of the practice’s referrals to St. Francis. Specifically, it is alleged that St. Francis’s bonus payments to POA physicians violated both the Stark Law and the AKS.

“Medical providers should base health care decisions on what is best for the patient, and not on financial incentives and related schemes,” said U.S. Attorney Adair F. Boroughs for the District of South Carolina. “We are grateful the relator brought these allegations forward. Relators are critical to identifying fraud and protecting the integrity of our Medicare system.”

Read the source article at justice.gov