NYUS Attorney: Upper Allegheny Health System to Pay $ 2.7 Million to Settle False Claims Law Allegations

BUFFALO, New York, May 27 – The office of we Lawyer for the Western District of new York issued the following press release on May 25, 2021:

we Lawyer James p kennedy, Jr. announced today that Upper Allegheny Health System (UAHS), a health care system that operates several dental clinics in the south of new York and in Pennsylvania, agreed to pay $ 2.7 million to resolve the False Claim Act allegations. Under the regulations, the federal government will receive approximately $ 1.3 million.

Assistant we Lawyer Mary ellen kresse, who handled the case for the US Attorney’s Office in Buffalo, said that between April 1, 2010, and May 31, 2015, UAHS has submitted false claims to Medicaid for dental services that were performed using handpieces that had not been properly sterilized. Dental handpieces are considered semi-critical devices and therefore must be heat sterilized between each patient use. The UAHS has not purchased enough dental handpieces to allow such heat sterilization. Instead, the UAHS ordered staff to use CaviWipes to “clean” handpieces between patients. The government alleged that billing Medicaid for services provided using unsterilized dental handpieces violated the Federal False Claims Act as well as the False Claims Act of New York.

“It is inconceivable that a healthcare company seeks to cut corners when it comes to the proper cleaning and sterilization of medical devices,” noted we Lawyer Kennedy. “This False Claims Act settlement holds Haute-Allegheny accountable for risks created to patients in the past, while ensuring that in the future patient safety will be preserved and that taxpayers will only pay for services. that are properly supplied. “

This settlement was concluded by the Office of the United States Attorney for the Western District of New York, in conjunction with the United States Attorney’s Office for the Western District of Pennsylvania, and the New York State Attorney General’s Office, Medicaid Fraud Control Unit (MTCU).

The case against the UAHS was brought to federal court by a whistleblower who alleged the health care system violated the federal False Claims Act and the New York False Claims Act by improperly billing health care programs. Under the Federal False Claims Act, individuals are permitted to bring lawsuits called qui tams on behalf of United States and receive a portion of the proceeds of any settlement or judgment granted against a defendant.

new York The Medicaid program provides medical insurance to low-income groups of people and people with disabilities. Medicaid is a nationally funded program jointly funded by the federal government and the states. The eligibility, benefits, and administration of Medicaid are administered by the states in accordance with federal guidelines.

The claims resolved by this settlement are only allegations and there has been no determination of liability.

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Robert Young

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