In U.S. ex rel. Wolfson v. Park Avenue Medical Associates, the U.S. Attorney’s Office in the Southern District of New York entered into a $1 million False Claims Act settlement against three related companies for improperly billing Medicare for behavioral health services.  The settlement agreement provided that the defendants “admit, acknowledge and accept responsibility for” (1) billing Medicare for

Continue Reading Admission of Wrongdoing Requirement May Make SDNY Less Attractive to Qui Tam Relators

In late October the U.S. Attorney’s Office in the Southern District of New York announced the settlement of a False Claims Act case against Westchester Medical Center (“WMC”) for $7 million, for submitting false reimbursement claims to Medicaid from August 2001 through June 2010 involving outpatient behavioral health services.  The settlement is to be paid in equal amounts of

Continue Reading Hospital Settles False Claims Act Case For $7 Million

The U.S. Attorney’s Office for the Southern District of New York recently announced the settlement of a health care False Claims Act case against Beth Israel Medical Center for fraudulently inflating its fees for services provided to Medicare patients in order to obtain larger “outlier payments.”  Beth Israel agreed to pay over $13 million to settle the Government’s claims for
Continue Reading False Claims Act Settlement Requires Admission of Conduct