Navigation Links
New Jersey Healthcare Consulting Firm to Pay U.S. $2.875 Million to Resolve Allegations of Medicare Fraud
Date:3/5/2008

WASHINGTON and NEWARK, N.J., March 5 /PRNewswire-USNewswire/ -- Besler & Company, Inc., a healthcare consulting firm; and its principal, Philip Besler, have agreed to pay the United States $2.875 million, plus interest, to settle allegations of fraud against the federal Medicare program, the Justice Department announced today.

The settlement resolves allegations that the North Brunswick, N.J.-headquartered company counseled hospital clients to improperly increase charges to Medicare patients in order to obtain enhanced reimbursement from Medicare. In addition to its standard payment system, Medicare pays supplemental reimbursement, called outlier payments, to hospitals in cases where the cost of care is unusually high. Congress enacted the supplemental outlier payment system to ensure that hospitals possess the incentive to treat inpatients whose care requires unusually high costs.

The Justice Department alleged that, between January 2001 and August 2003, Besler & Company advised hospitals to purposefully inflate charges for inpatient and outpatient care to make these cases appear more costly than they actually were, and thereby augment their outlier reimbursements.

"Today's settlement makes clear that the Department of Justice is prepared to protect the Medicare program by seeking redress not only against health care providers who commit fraud but also against anyone who participates in that fraud," said Jeffrey S. Bucholtz, Acting Assistant Attorney General for the Justice Department's Civil Division.

The civil settlement agreement released today resolves allegations against Besler & Company and Mr. Besler that were filed in two separate federal lawsuits brought by "whistleblowers" under the federal False Claims Act, which permits private citizens to bring lawsuits on behalf of the United States. Under the settlement, James Monahan, the whistleblower in the first of the two lawsuits, will receive $460,000 of the total recovery.

"This office is committed to preserving the integrity of the Medicare system within New Jersey against anyone who engages in mischarging, including outside consultants," said Christopher J. Christie, U.S. Attorney for the District of New Jersey.

The settlement was the result of a coordinated effort among the Justice Department's Civil Division, Commercial Litigation Branch; the U.S. Attorney's Office for the District of New Jersey, Affirmative Civil Enforcement Unit; the Department of Health and Human Services, Office of Inspector General; the Centers for Medicare and Medicaid Services; and the Federal Bureau of Investigation.


'/>"/>
SOURCE U.S. Department of Justice
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. New Jersey Hospital Association Presents Awards for Commitment to Healthcare
2. New Jersey Hospital Association Names New Chairman, Appoints Board Officers and New Members
3. $30.3 Million Jury Verdict Believed to Be New Jerseys Largest
4. MedCath Announces Venture With Two New Jersey Hospitals
5. New Jersey Hospital Association Prescription Program Outpaces Industry
6. Brandywine Senior Living Completes Acquisition of Four Assisted Living Communities in New Jersey
7. United States Joins False Claims Act Cases Against Three New Jersey Hospitals
8. QMed, Inc. Announces the Termination of Its New Jersey Special Needs Plan
9. AHF Says Op-Out Clause is Crucial to New Jersey Law Requiring HIV Testing of Pregnant Women
10. New Bayer, United Nations Partnership Brings International Environment and Art Competition to Northern New Jersey Elementary and Middle Schools
11. New Jersey Hospitals Post Razor Thin 0.6 Percent Operating Margin for 2006, Down 1 Percent from 2005
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/25/2017)... ... 2017 , ... Winners in the 2017 Stevie® Awards ... during a gala event in New York City. The awards recognize the world’s ... suppliers who help to create and drive great places to work.     , A ...
(Date:9/25/2017)... ... September 25, 2017 , ... ... solutions for drugs, biologics and consumer health products, today announced that two of ... validation of bioassays at two upcoming conferences. , At the BEBPA 10th Annual ...
(Date:9/25/2017)... ... September 25, 2017 , ... ... Portable, Continuous, Miniature, and Modular (PCMM) collaboration with Pfizer and GEA by designing ... Dosage line. The new PODs will provide tablet coating capability in the existing ...
(Date:9/25/2017)... PITTSBURGH, PA (PRWEB) , ... September 25, 2017 , ... ... efficient way to update patient charts in hospitals and medical facilities, so he invented ... to access and update patient charts. In doing so, it offers an improved alternative ...
(Date:9/25/2017)... ... , ... Lean Management techniques applied to the laboratory have ... laboratory weighing is designed to help laboratory personnel strengthen lab processes and ... downstream processes. , If a problem is detected, the "First-Defect-Stop" procedure should be ...
Breaking Medicine News(10 mins):
(Date:9/6/2017)... , Sept. 6, 2017  Medical professionals ... and skills while treating their patients. Medical ... experience without involving patients. Simulation provides a ... can carry out procedures, refine techniques and ... Integration of new technology, such as augmented ...
(Date:9/5/2017)... 5, 2017  Xyntek Inc. has announced another milestone in their continued growth ... to meet the growing demands of customer engagements regionally.  ... Xyntek's new Midwest office is located at 318 West Adams Street, Suite ... Xyntek's ... ...
(Date:9/1/2017)... 2017  Explorers Like Us ( https://explorerslikeus.com/ ) is embarking ... — and deliver these experiences as part of Life Environments™, ... and heal better. ... While nothing beats a walk, jog or simply playing ... Environments™ is the next best thing when getting there isn’t ...
Breaking Medicine Technology: