Oswego Hospital has agreed to pay $98,694.36 to resolve allegations that it knowingly violated the False Claims Act by: (1) improperly billing Medicare and Medicaid for outpatient mental healthcare services that were rendered by an unsupervised LMSW, and (2) improperly billing Medicaid for outpatient mental healthcare services rendered by another LMSW for which Oswego Hospital could not provide documentation to support those claims. This case began in April of 2019, when a whistleblower filed a qui tam complaint investigation under seal in the United States District Court for the Northern District of New York.
