Violation Tracker Individual Record

Company: 
WellStar Health Systems
Current Parent Company: 
WellStar Health System
Penalty: 
$2,738,000
Year: 
2010
Date: 
August 30, 2010
Primary Offense: 
False Claims Act and related
Violation Description: 

WellStar Health Systems agreed to pay $2.738 million in settlement of allegations about WellStar's billing for cross-over claims, which are claims made for patients who are enrolled in both Medicare and Medicaid. Medicare acts as the primary coverage, with Medicaid functioning as the secondary insurance, and Medicaid has a cap on the amount of reimbursement that a hospital can receive. The investigation found that WellStar filed claims which did not reflect the full amount of Medicare prior payments, allowing WellStar to receive excessive Medicaid reimbursements.

Level of Government: 
state
Action Type: 
agency action
Agency: 
Georgia Attorney General
Civil or Criminal Case: 
civil
Facility State: 
Georgia
HQ Country of Parent: 
USA
HQ State of Parent: 
Georgia
Ownership Structure of Parent: 
non-profit
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
hospitals
Source Notes: 
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.