Corporate Compliance

What would you do? Know your ethical obligations

Strategies for Health Care Compliance, October 1, 2009

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In late June, Johns Hopkins’ Bayview Medical Center in Baltimore agreed to pay nearly $3 million to settle allegations by two of its inpatient coders that the hospital’s physicians reported secondary diagnoses they had not identified or treated, according to a June 30 press release from the U.S. Attorney for the District of Maryland. From July 1, 2005, through February 28, 2007, the medical center allegedly submitted fraudulent claims stating that patients suffered from malnutrition and acute respiratory failure despite the patients never being diagnosed or treated for those conditions to federal health benefits programs.

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