More than four dozen hospitals in 21 states have agreed to pay more than $34 million to the U.S. government to settle allegations that they submitted bogus Medicare claims for kyphoplasty, a procedure used to treat certain spinal fractures caused by osteoporosis, the U.S. Department of Justice announced Tuesday.
The settlements resolve claims that the 55 hospitals at issue frequently billed Medicare for kyphoplasty, a minimally invasive procedure typically performed in an outpatient manner without any need for a more costly hospital admission. The hospitals allegedly used kyphoplasty on the more expensive inpatient basis in order to increase their Medicare billings. For more information, please click here.