Navigation Links
Parent Company of Two New Jersey Hospitals to Pay U.S. $7.95 Million to Settle False Claims Act Allegations

WASHINGTON, Dec. 15 /PRNewswire-USNewswire/ -- Our Lady of Lourdes Health Care Services Inc., the parent company of two New Jersey hospitals, has agreed to pay the United States $7.95 million to resolve allegations that the hospitals defrauded Medicare, the Justice Department announced today. The two hospitals are Our Lady of Lourdes Medical Center (OLL) in Camden, N.J., and Lourdes Medical Center of Burlington County (LMC) in Willingboro, N.J.

LMC is a defendant in a suit brought by a whistleblower, Tony Kite, in 2005. The lawsuit alleged that the hospital fraudulently inflated its charges to Medicare patients to obtain enhanced reimbursement from Medicare. In addition to its standard payment system, Medicare provides supplemental reimbursement, called "outlier payments," to hospitals and other health care providers in cases where the cost of care is unusually high. Congress enacted the supplemental outlier payments system to give hospitals the incentive to treat inpatients whose care requires unusually high costs. The lawsuit alleged that the hospital inflated its charges to obtain supplemental outlier payments for cases that were not extraordinarily costly and for which outlier payments should not have been paid.

The United States conducted a separate investigation of OLL. The government alleged, as a result of that investigation, that the hospital also wrongfully obtained excessive outlier payments.

"As the settlement announced today demonstrates, the Department of Justice is committed to pursuing those who defraud Medicare and drive up the costs of health care," said Assistant Attorney General Tony West, head of the Civil Division of the Department of Justice. Assistant Attorney General West noted that this settlement was the result of the coordinated efforts of the Justice Department's Civil Division, the U.S. Attorney's Office for the District of New Jersey, the Department of Health and Human Services Office of Inspector General and the Centers for Medicare and Medicaid Services, and the Federal Bureau of Investigation.

"This office is committed to protecting the Medicare Trust Fund from fraud and abuse," said Paul J. Fishman, U.S. Attorney for the District of New Jersey.

Mr. Kite brought his suit under the qui tam or whistleblower provisions of the False Claims Act, which permit private citizens with knowledge of fraud against the government to bring a lawsuit on behalf of the United States and to share in any recovery. Under the civil settlement announced today, Mr. Kite will receive $356,000, plus interest, out of the Our Lady of Lourdes Health Care Services settlement.

SOURCE U.S. Department of Justice

SOURCE U.S. Department of Justice
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Survival differences by race most apparent in advanced stages of breast cancer
2. Informational handout key to giving parents a better understanding of CT radiation risks
3. Many Parents Share Genetic Test Findings With Kids
4. Giving CPR Kits to Kids Nudges Parents to Learn
5. Psoriasis Cure Now offers Back to School Resources for Parents of Children with Psoriasis
6. Adult offspring of parents with PTSD have lower cortisol levels
7. Parents perceptions can hamper kids asthma care, study finds
8. Parental Involvement Key to Battling Bulima
9. Parental Involvement Key to Battling Bulimia
10. Parents Worries Hamper Kids Asthma Treatment
11. Parents PTSD May Boost Stress in Offspring
Post Your Comments:
(Date:12/1/2015)... ... 2015 , ... Tympani Inc., announced today that it has ... This designation recognizes Tympani as having fulfilled the training requirements and program prerequisites ... high-end enterprise contact center marketplace. , Ed Kapelinski, President of Tympani stated, “As ...
(Date:11/30/2015)... ... December 01, 2015 , ... ... Colon as a 2015-2016 inductee into its VIP Woman of the Year ... is the nation’s leading networking organization exclusively for professional women, boasting 850,000 members ...
(Date:11/30/2015)... (PRWEB) , ... November 30, 2015 , ... ... but also extremely stressful. At the VA Maryland Health Care System, the ... for veterans patients. “Caregivers have a difficult job. Seventy-four percent report that ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... dermatology, is proud to announce that its ThermiRFR temperature controlled radiofrequency platform has ... an innovative multi-application radiofrequency platform which uses temperature as a clinical endpoint. ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... fun atmosphere for Halloween festivities, the Word of Life Christian Church of Flint, ... game, and featuring a giant 1.25 ton pile of candy dubbed “Candy Mountain”. ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Nov. 30, 2015 Next week, December 2-3, ... Things (DoT ) co-located events covering the latest in ... of Things, will draw more than 3,000 design industry ... Convention Center. The events, combined show floor will host ... --> --> BIOMEDevice ...
(Date:11/30/2015)... and BOCA RATON, Fla. , ... the Commercialization of Public Research (the Institute) announced ... KynderMed , a medical device start-up company with ... new company creation based on publicly-funded research, and bridges ... Florida -based universities and research institutions. ...
(Date:11/30/2015)... 30, 2015  Kevin Smith has been appointed ... global pioneer in wireless monitoring of vital signs.  ... , Mr. Smith will be responsible for ... strategy.  He will also directly oversee partnering with ... evidence for SensiumVitals, the first early warning detection ...
Breaking Medicine Technology: