NEW YORK, NY–(Marketwire – 04/14/11) – MultiPlan, Inc. was been named as a defendant in a lawsuit brought over a year ago against Sutter hospitals alleging false billing of certain anesthesia services. California Insurance Commissioner Dave Jones recently intervened in the lawsuit, and issued a press release announcing that action.
MultiPlan denies any part in a scheme to commit fraud, and is vigorously addressing the allegations. As an intermediary between payers and providers, MultiPlan arranges for negotiated rates of reimbursement. MultiPlan does not have any involvement with or responsibility for the hospital billing methodology.
The Commissioner’s recent press release states that MultiPlan’s agreements with Sutter hospitals prevent payers from meaningfully auditing Sutter’s bills. This statement is based on an allegation in dispute which MultiPlan has denied on the record.
MultiPlan, Inc. is the industry’s most comprehensive provider of healthcare cost management solutions. The company provides a single gateway to a host of primary, complementary and out-of-network strategies for managing the financial risks associated with healthcare claims. Clients include large and mid-sized insurers, third party administrators, self-funded plans, HMOs and other entities that pay claims on behalf of health plans. MultiPlan is owned by BC Partners, a leading international private equity firm, and Silver Lake, the world’s largest private investor in technology. For more information, visit www.multiplan.com.
See previous posting – http://blog.riskmanagers.us/?p=5807