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Federal prosecutors
are investigating the transplant programs of three major Chicago
medical centers, seeking to determine whether they submitted false
bills to the government and made some liver-transplant patients
appear sicker than they really were.
The probe
of practices at Northwestern Memorial Hospital, the University
of Chicago Hospitals, and the University of Illinois at Chicago
Medical Center came to light when the U.S. attorney's office filed
a request for the enforcement of a September 2001 subpoena issued
by the U.S. Department of Health and Human Services (DHHS).
David Krupnick,
DHHS Midwest inspector general, confirmed the investigation but
declined to say how many patients or how much money was involved.
The Chicago
Sun-Times said the government is investigating whether the three
hospitals listed patients as being in intensive-care units when
they weren't sick enough to be there, and in doing so billed Medicare
and Medicaid for unnecessary medical procedures.
Listing patients
as being in intensive-care could have moved them up on the liver
waiting list, giving them a higher priority for cadaver livers.
Investigators
want to know "whether such false claims affected the mandated
equitable distribution of livers available for transplant,"
according to the documents.
"This
issue stems from how some patients, very ill with liver disease
in the late 1990s, may have been classified on liver transplant
waiting lists," said UIC spokesman Mark Rosati. "We
cooperated fully with UNOS in its review. We are confident that
our transplant program is administered properly in accordance
with federal and state laws."
Other
sources: Chicago Sun-Times
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