Federal judge dismisses $15M false claims case
Compliance Monitor, September 24, 2008
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
A federal judge recently granted a summary for dismissal in the case that alleged East Texas Medical Center Regional Healthcare System of submitting false claims to Medicaid, according to the legal journal The Southeast Texas Record.
The lawsuit alleged East Texas Medical Center (ETMC) Athens, located in Athens TX, illegally submitted claims for additional reimbursement under the intergovernmental transfer program which applies to public rural hospital.
The judge decided ETMC is a private hospital and should not have received additional reimbursement from the intergovernmental transfers, but the Texas Organization of Rural and Community Hospitals (TORCH) told ETMC it was qualified. Because ETMC relied on the advice it received from TORCH, the judge decided ETMC did not knowingly submit a false claim and therefore cannot be in violation of the False Claims Act.
To read The Southeast Texas Record article click here.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Comments
0 comments on “Federal judge dismisses $15M false claims case ”
Related Products
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched
