Health Care Fraud: The Basics by Scott C. Taylor article Health care providers are being fined for overcharging patients and making patients wait in long lines at their emergency room.
The American Hospital Association (AHA) is taking action against several major hospital systems, including Brigham and Women’s Hospital, which is facing an ongoing investigation by the National Center for Medicare & Medicaid Services (NCCMS).
The AHA, which represents the nation’s largest hospital system, says the system overcharged more than $15 billion in 2017 and $8 billion in 2016.
According to the AHA’s audit, which was released Wednesday, Brigham and the hospitals it operates received more than 2,000 complaints between April 2018 and August 2019.
The AHC says it investigated more than 1,000 cases and found that some hospitals charged more than twice the recommended rate for hospital services, which included emergency room, intensive care and trauma services.
The hospitals charged the highest rates, at $1,828.37 per patient per day, or $2,500.37 for every one patient in the emergency room or intensive care unit.
Other hospitals that were investigated included Brigham and Womens Hospitals, the University of Pittsburgh Medical Center, Mount Sinai Hospital and Boston Medical Center.
The hospitals are the largest providers of health care services in the United States, according to the report.
According the report, hospitals were able to avoid paying a $8.3 billion fine in 2017 because they did not violate the Federal Fraud Enforcement Act, which requires them to inform patients of their rights and the charges they may face.