New York Hospital Settles Claims of Improper Insurance Billing

New York Presbyterian Hospital has agreed to pay $801,000 to resolve claims that two radiology practices improperly billed Medicare, Medicaid, and TRICARE, the Justice Department said Thursday.

The DOJ alleged that Radiation Therapist Associates P.C., and Leading Edge Radiation Oncology Services PLLC, improperly billed for images used in image guided radiation therapy treatments provided to cancer patients, according to the department.

The images were allegedly either not reviewed or not timely reviewed, making them not reasonable or necessary, and the initial consultation sessions at RTA were billed at a higher coding level than appropriate in some instances, the DOJ ...