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DOJ Files Lawsuit Against Community Health Network

Indiana's Graduate Medical Education Board plans to ask lawmakers for more money following a record number of applications for funding this year to expand or establish physician training programs.
Indiana's Graduate Medical Education Board plans to ask lawmakers for more money following a record number of applications for funding this year to expand or establish physician training programs.

The Department of Justice has filed a lawsuit against Community Health Network alleging the central Indiana health care system submitted false claims to Medicare.

The DOJ alleges the network paid physicians well above market value for referrals and paid bonuses to physicians if they referred a certain number of patients to the hospital.

According to the suit, Community Health violated federal law. The Stark Law prohibits hospitals from billing Medicare for services referred by a doctor with whom the hospital has an improper financial relationship. The DOJ alleges Community Health submitted claims to Medicare knowing the claims were not eligible for payment. The government wants the money repaid.

In a written statement, Community Health says the network has fully cooperated with the government’s requests. The network called the claim “meritless” and a waste of government resources.

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Sara Wittmeyer is the News Bureau Chief for WFIU and WTIU. Sara has more than two decades of journalism experience. She led the creation of the converged WFIU/WTIU Newsroom in 2010 and previously served with KBIA at the University of Missouri, WNKU at Northern Kentucky University in Highland Heights, KY, and at WCPO News in Cincinnati.