Hyannis-based Cape Cod Hospital has agreed to pay 24-point-3-million-dollars to resolve False Claims Act allegations.
The U.S. Department of Justice says the hospital knowingly submitted claims to Medicare for cardiac procedures that failed to comply with the rules regarding how patients were to be evaluated.
In some instances, not enough physicians examined a patient's suitability and in others, physicians failed to document and share clinical judgment with the medical team responsible for the procedure.
The settlement includes claims brought under whistleblower provisions by cardiologist Richard Zelman, who was employed by the hospital.
He is set to receive 4-point-36-million-dollars.
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