Continuum Health Partners, Inc., a non-profit organization, operates a network of hospitals in the New York City metropolitan region. It provides integrated health services in the areas of acupuncture, addictions, alcoholism, asthma, back pain, brain tumor, cancer, diabetes, gynecology, heart diseases, infertility and reproduction, lung diseases, neck pain, neurology/neurosurgery, osteoporosis, Parkinson's disease, psychiatry, pulmonary hypertension, smoking cessation, stroke, urology, weight control, and women's conditions. The company also engages in clinical studies in the areas of cancer, cardiology, dermatology, diabetes, gastrointestinal, HIV/AIDS, kidney, mental health, neurology, neu...
555 West 57th Street
New York, NY 10019
Founded in 1997
A.G. Schneiderman Announces Lawsuit Against Continuum Health Partners, Inc., Beth Israel Medical Center and St Luke's-Roosevelt Hospital Center
Jun 27 14
Attorney General Eric T. Schneiderman announced that his office has filed a lawsuit alleging that Continuum Health Partners, Inc., Beth Israel Medical Center and St Luke's-Roosevelt Hospital Center, headquartered in New York, failed to return money to the New York State Medicaid Program that they knew they had no right to have received. The complaint in intervention alleges that between 2009 and 2010 Beth Israel and St. Luke's-Roosevelt, submitted improper claims to Medicaid for services rendered to Healthfirst enrollees as a result of a computer error. In 2010, the New York State Comptroller's office informed Continuum (which at the time of the conduct operated Beth Israel and St. Luke's-Roosevelt) that it had identified a handful of improper claims stemming from the computer problem. After learning of this from the Comptroller's Office, Continuum conducted an internal investigation. The complaint also alleges that in February of 2011, Continuum identified over 900 potentially improper claims to Medicaid, totaling approximately $1,000,000. It also alleges that nonetheless, Continuum failed to take steps to repay all of the affected claims within 60 days after these claims had been identified, and that Continuum proceeded to repay only small batches of affected claims, some of which were brought to its attention by the Comptroller, over the next two-plus years. Final repayments were not made until March 2013, and repayments were made for more than 300 of the claims only after the United States, through the United States Attorneys' Office for the Southern District of New York, issued a Civil Investigative Demand to Continuum concerning these payments in June 2012.