Health Law & Business News

DOJ Ends Whistleblower’s ‘Costly’ Medicare Inpatient Fraud Suit

Nov. 6, 2019, 7:25 PM

The Justice Department convinced the Eastern District of Pennsylvania to end a whistleblower’s suit accusing Medicare compliance company Executive Health Resources Inc. of violating the False Claims Act by falsely designating patient admissions.

The DOJ demonstrated that continuing the litigation would impose a significant burden on government resources, and that it thoroughly investigated the suit’s costs and benefits of continuing before moving to dismiss, Judge Michael M. Baylson of the U.S. District Court for the Eastern District of Pennsylvania said.

The DOJ showed genuine concerns that whistleblower Jesse Polansky could establish FCA liability given his inability to access medical records...

To read the full article log in. To learn more about a subscription click here.