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: False Claims Act - Qui Tam

CHRISTUS Health will pay nearly $1 million to settle whistleblower suit

By Phillips & Cohen LLP

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CHRISTUS Health, a Texas-based hospital chain, has agreed to pay almost $1 million to settle allegations that it committed Medicare fraud by falsely billing for unapproved medical costs and failing to disclose overpayments.

Whistleblower Mark Razin was a Healthcare Financial Advisors employee who worked with CHRISTUS on cost reports to maximize Medicare reimbursement. The allegations against CHRISTUS include wrongful billing to Medicare for advertising, marketing and administrative costs. CHRISTUS also allegedly failed to disclose errors made by a fiscal intermediary that reviewed Medicare cost reports which caused the overpayments. Hospitals are required to report overpayments caused by reimbursement errors to Medicare.

Other former clients of Healthcare Financial Advisors have settled FCA suits, including Loma Linda Behavioral Medicine Center, Lovelace Health System, Jackson Memorial Hospital, Eisenhower Medical Center, St. Elizabeth Regional Medical Center, and St. Joseph's Hospital in Houston.

Razin was represented by Phillips & Cohen LLP attorney Mary A. Inman.

Full post as published by False Claims Act - Qui Tam on October 12, 2010 (boomark / email).

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