5. Waters & Kraus, LLP. “Baltimore’s Good Samaritan Hospital Settles False Claims Act Allegations.” Accessed July 1, 2025. Link
6. Good Samaritan Hospital upcoded malnutrition diagnoses to inflate Medicare reimbursements.
7. U.S. Department of Justice. “New Jersey Hospital to Pay $6.35 Million to Resolve Allegations of Inflating Charges.” March 2010. Link
8. Robert Wood Johnson Hospital falsely inflated costs to qualify for Medicare outlier payments.
9. U.S. Department of Justice. “Fifty-Five Hospitals to Pay $34 Million to Resolve False Claims Related to Kyphoplasty.” July 2, 2013. Link
10. hospitals settled for improper inpatient billing of outpatient kyphoplasty procedures.
11. U.S. Department of Justice. “Hospital Chain Will Pay Over $260 Million to Resolve False Billing and Kickback Allegations.” September 25, 2018. Link
12. Health Management Associates engaged in unnecessary admissions and illegal referrals.
13. Office of Inspector General. “Prime Healthcare Services and CEO to Pay $65 Million to Settle False Claims Act Allegations.” August 3, 2018. Link
14. Prime Healthcare admitted Medicare fraud through upcoding and unnecessary admissions.
15. U.S. Attorney’s Office, Eastern District of Kentucky. “Saint Joseph London Hospital to Pay $16.5 Million to Settle False Claims Act Allegations.” January 28, 2014. Link
16. St. Joseph London performed unneeded heart procedures and paid illegal physician incentives.
17. Associated Press. “Sutter Health Agrees to Pay $90 Million to Settle Medicare Fraud Allegations.” August 30, 2021. Link
18. Sutter Health upcoded risk scores in Medicare Advantage plans to obtain higher reimbursements.
19. U.S. Department of Justice. “National Health Care Fraud Takedown Results in Charges Against 324 Individuals Responsible for $14.6 Billion in False Billings.” June 30, 2025. Link