Long Island-Based Health System Prevails in Medicare Fraud Suit

Oct. 16, 2023, 5:21 PM UTC

Catholic Health System of Long Island won’t have to defend allegations that it committed fraud by falsely certifying compliance with federal law at a time when it was diverting a nursing home’s medical services payments to another medical facility.

Federal law doesn’t require the recipient of a Medicare or Medicaid reimbursement payment to use the money in a particular way, the US Court of Appeals for the Second Circuit said Monday. The system, therefore, couldn’t be sued under the False Claims Act or its state equivalent for using a nursing home’s reimbursements to pay a medical center instead of providing ...

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