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:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance (FHC), an ... showcase a range of technology and learning solutions at the 68th Annual American ... to be held October 14–18, 2017 at the Mandalay Bay Resort in Las ...
(Date:10/12/2017)... ... , ... The American College of Medical Informatics (ACMI) will present the 2017 ... Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium is ... pioneer in the field of medical informatics, this prestigious award is presented to an ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts ... Washington, D.C., for the 49th Congress of the International Society of Paediatric Oncology ... of the Center for Cancer and Blood Disorders at Children’s National, and ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra Chief ... advancements to physician colleagues, skilled nursing facility medical directors and other clinicians at ... of Wound Care." , "At many of these conferences we get to educate ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... -- The Rebound mobile app is poised to become a ... of prescription drug addiction. The app empowers users to develop ... down their dosage in a safe, controlled manner while maximizing ... first 100,000 people to sign up will enjoy 3 months ... ...
(Date:9/27/2017)... YORK , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a ... today announced that its MyDario product is expected to appear on The ... when The Dr. Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz ... The ...
(Date:9/22/2017)... , Sept. 22, 2017  As the latest ... Senators Bill Cassidy (R-LA) and Lindsey ... notes that the medical device industry is in an ... device tax, the 2.3% excise tax on medical device ... they also want covered patients, increased visits and hospital ...
Breaking Medicine Technology: