Darryl Duncan, president and CEO of Mon Health System, the parent company of Mon General Hospital, a Morgantown, W.V., facility that agreed to pay $4.8 million, told WDTV.com the hospitals “misinterpreted these guidelines and mistakenly sought Medicare reimbursements for the procedures.” He said patients were not over-billed and Mon General Hospital now has screening procedures to ensure the NCD guidelines are fully met.

“In an ever-changing health care environment, it can be difficult to provide care that meets our high standards and simultaneously meets the letter of the regulatory law,” Duncan said. “In this case, we followed what we and more than 500 other hospitals agree is the prudent course of action, and settled with the Department of Justice.”


Other hospital systems in the last settlement were: Arkansas Heart Hospital, Little Rock, Ark., $900,000; Aurora Health Care, Milwaukee, Wisc., and four affiliated hospitals, $1.25 million; Dignity Health, also known as Catholic Healthcare West, San Francisco, and 18 affiliated hospitals, $5.9 million; MGH Wind Down Inc., previously known as Marquette General Hospital, Marquette, Mich., $850,000; Mount Sinai Medical Center, Miami Beach, Fla., $1.9 million; Nacogdoches Memorial Hospital, Nacogdoches, Texas, $100,000; Northwell Health Inc., formerly known as North Shore-Long Island Jewish Health System, Great Neck, N.Y., and six affiliated hospitals, $2.5 million; Sentara Healthcare, Norfolk, Va., and seven affiliated hospitals, $2.1 million; and Sisters of Charity of Leavenworth Health System, Broomfield, Colo., and five affiliated hospitals, $1.95 million.

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