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:10/13/2015)... , ... October 13, 2015 , ... Local Gold’s Gym ... Gym International Conference on August 26. Berry, who owns and operates Gold's Gym ... the fastest growing Gold’s Gyms in the United States. A brand leader in global ...
(Date:10/13/2015)... ... October 13, 2015 , ... Breathing is one of the ... correctly. According to T’ai Chi (also spelled “Taiji”) and Qigong Grand-masters Steven Aung, ... concert with the 7,000 year old tradition they teach, can improve health, increase ...
(Date:10/13/2015)... ... ... With Fall weather approaching and holiday travel season upon us, is giving away ... to win! , How to Enter:, 1. Like on Facebook , 2. ... us on Instagram @thebeautyplace , 4. Share Facebook Contest Image With Friends , ...
(Date:10/13/2015)... DALLAS, Texas (PRWEB) , ... October 13, 2015 ... ... comprehensive treatment possible for children with autism, PediaPlex , a Southlake, Texas, ... value of ABA Therapy and educating military families about their options ...
(Date:10/13/2015)... (PRWEB) , ... October 13, 2015 , ... ... sustainable and eco-friendly home furnishings and décor, today announced it closed on a ... investor. The funds will be used to support the Company’s continued rapid growth ...
Breaking Medicine News(10 mins):
(Date:10/13/2015)... MUNICH , October 13, 2015 ... --> World Thrombosis Day Interactive Infographic   ... World Thrombosis Day  to promote vital ... and signs and symptoms. Thrombosis is the formation ... (venous thrombosis) - resulting in venous thromboembolism (VTE) ...
(Date:10/13/2015)... PARK, Calif. , Oct. 13, 2015 /PRNewswire/ ... an agreement with the UK-based Cell Therapy Catapult ... for AST-VAC2, Asterias, allogeneic dendritic cell immunotherapy. Under ... and scale manufacturing processes for AST-VAC2 to support ... --> --> ...
(Date:10/12/2015)... -- Given the intricacy of the anatomy and ... an ophthalmic drug effectively to a specific ocular site. Several ... delivery. These include dilution of a drug by tears, clearance ... drug permeation issues with respect to the cornea, sclera and ... is lost due to the aforementioned barriers. --> ...
Breaking Medicine Technology: