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:5/24/2017)... ... May 24, 2017 , ... In ... choosing the most appropriate instruments for research and understanding the basic principles that ... webinar will focus on innovations in stereo microscopy for brightfield and fluorescence typically ...
(Date:5/24/2017)... ... May 24, 2017 , ... Altec Products, Inc., a ... 2017 – a one-day technology conference in San Diego, CA. , At nVerge ... users to fully utilize and enhance their Sage ERP solutions by providing improved visibility ...
(Date:5/24/2017)... , ... May 24, 2017 , ... ... implants in Bayside, NY, who have now spent 10 years as clinical instructors ... York University (NYU) College of Dentistry. Through the program, private practitioners receive cutting-edge ...
(Date:5/24/2017)... , ... May 24, 2017 , ... Patients who want ... OH, can now meet with Dr. Joseph Bedich for a consultation, with or without ... improving their oral health and functionality. , Dr. Bedich offers a variety ...
(Date:5/24/2017)... (PRWEB) , ... May 24, 2017 , ... Myers Jackson ... his has the ability to sell luxury homes anywhere on the planet. The luxury ... county side from Hattiesburg to Houston city-scapes. A quick search of “11 Spyglass Hill ...
Breaking Medicine News(10 mins):
(Date:5/3/2017)... 2017  Kalorama Information notes that transplant diagnostics ... year and this is projected to continue to ... (HSCT) or bone marrow transplants require histocompatibility between ... for this task. This according to a new ... The various PCR-based methodologies, Sanger sequencing and NGS ...
(Date:5/3/2017)... 2017  West Pharmaceutical Services, Inc. (NYSE: WST), ... drug administration, announced today that Fran DeGrazio ... and Diane Paskiet , Director, Scientific Affairs, ... on West,s expertise in the areas of safety ... providing commentary on updated industry guidance. ...
(Date:5/2/2017)... SYDNEY , May 2, 2017  George Clinical, ... Asia-Pacific region, and Vector Oncology, a ... research and data analytics, formally announced today that George ... immediately, the transaction has the dual purpose of ... scientifically led oncology trial delivery solutions throughout the ...
Breaking Medicine Technology: