According to Trib Live News, a hospital’s stenting practices led a $2 million dollar Medicare fine over improper reimbursements. According to documents filed in court, the Pennsylvania-based hospital group performed at least 140 unnecessary stenting and angioplasty procedures.
The Pennsylvania hospital is part of the Excela Health network. As part of the agreement, the hospital group has agreed to return funds for some heart surgeries performed between 2009 and 2011.
According to official reports, procedures were managed by Dr. Ehab and Dr. George BouSamra. Both surgeons previously worked at the Excela Westmoreland County Cardiology center. In response to allegations of inappropriate reimbursement practices, both surgeons have filed defamation suits.
According to details from the case, Exela hired private investigators and experts to look over procedures by Morcos and BouSamra. At the time, officials at the clinic had become concerned over patients receiving angioplasties and stents who had little plaque buildup. According to experts, many patients who underwent procedures did not have sufficient plaque to warrant stent and angioplasty operations.
In a press release, Excela CEO Robert Rogalski said, "We value transparency as an institution. We were aware of the situation, we investigated, we self-reported, and Excela believes that was an important factor in resolving the issue.” He continued, "Since our disclosure, Excela's quality improvements have resulted in a national accreditation of our cardiac catheterization laboratory, which we were the first in the state to receive."
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