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New York Hospital Agrees to Settle Qui Tam

By Nolan and Auerbach

The Government announced today that a former employee  of Victory Memorial Hospital?s qui tam lawsuit has resulted in a settlement with the United States of at least $2.3 million to resolve claims that the hospital defrauded the Medicare program.

The Medicare Fraud settlement covers allegations that Victory Memorial submitted Cost Reports for 1996 and 1997 that understated certain revenues for patient care, known as “charges.” This allegedly resulted in Victory Memorial having a higher Cost to Charge Ratio for those years, which in turn resulted in Victory Memorial obtaining higher reimbursements for Medicare for certain services. The employee was represented by Nolan and Auerbach P.A. as co-counsel with the law offices of Timothy McInnis.

To see the Government press release, click here.

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Full post as published by Medicare Fraud 101 on March 06, 2009 (boomark / email).