Beth Israel Deaconess to pay $5.3 million over false Medicare claims

Photo via blog.beliefnet.com
Photo via blog.beliefnet.com

Beth Israel Deaconess Medical Center will pay the federal government over $5 million after allegedly making false Medicare claims over a four-year span, U.S. Attorney Carmen M. Ortiz announced today.

The teaching hospital has agreed to pay the United States $5.315 million to settle allegations that it violated the False Claims Act by billing Medicare for inpatient admissions that should have been billed as lower reimbursed outpatient or observation services. The improper claims were submitted from June 1, 2004, through March 31, 2008.

The government accused Beth Israel of inappropriately submitting claims to Medicare for one-day stay inpatient admissions for patients with congestive heart failure, chest pain, and certain digestive and nutritional disorders. Ortiz said claims should have been billed as observation services as the patients were briefly admitted for the limited purpose of observation and discharged the next day.

The settlement also resolves allegations that Beth Israel submitted claims to Medicare for less-than-one day stays that should have been billed as outpatient or observation services. Medicare reimburses hospitals, like Beth Israel, at significantly higher amounts for inpatient admissions compared to outpatient or observation services, according to Ortize.

The hospital has not admitted liability or wrongdoing in connection with the settlement.

“Today’s settlement furthers two critical purposes: ensuring that precious federal health care dollars are spent appropriately and in accordance with the law, and emphasizing that patient needs, not the bottom line, must be the basis for treatment decisions,” Ortiz said.

Follow Morgan Rousseau on Twitter: @MetroMorgan
Follow Metro Boston on Twitter: @MetroBOS



News
Entertainment
Sports
Lifestyle
Local

Protesters say new Met Opera is anti-Semitic

Protesters, including a former mayor and governor, gathered outside of the Metropolitan Opera on Monday afternoon to protest the opening of “The Death of Klinghoffer.”

Local

Brooklyn girl's death ruled a homicide

The New York City Medical Examiner has ruled the death of a Brooklyn toddler a homicide. Jeida Torres, 3, was found bruised and unresponsive Saturday…

Local

New York City continues to prepare for Ebola…

New York City continues to prepare for the possibility of Ebola. There have been numerous scares, but no confirmed cases. Representatives from about 150 unions…

Local

NYPD nabs alleged serial bank robber

  The NYPD has arrested a man they say is responsible for multiple Manhattan bank robberies this month. Police have arrested a Brooklyn man they…

Entertainment

We the Economy: Morgan Spurlock's new crusade

If Morgan Spurlock gets his way, you won't be able to avoid We the Economy, the series of 20 shorts films curated by the "Super…

Arts

3 Parody plays lampoon your childhood, adulthood and…

Whether you loved the source material or you're going in blind, these parody plays have something for every audience member. We rate three of NYC's hottest satirical shows.

Gossip

Who has more power: Harry Styles or Amal…

Amal Clooney comes in fourth on The Evening Standard's Most Influential Londoners list.

Music

#AskPaul McCartney reveals his love of American pop…

For an Englishman, Paul McCartney's pop culture tastes would fit right in stateside. The former Beatle (@PaulMcCartney) revealed that he has a real thing for…

NFL

John Idzik: 'We did a ton of background'…

Given John Idzik spent the previous five years with the Seahawks before he joined the Jets last January, there is a comfort level for the organization.

NFL

Jets add sizzle to struggling passing game with…

The Jets’ trade for Percy Harvin may have an air of desperation on the surface, but at 1-6 this season is hanging only by a thread.

NFL

Jason Pierre-Paul: 'We've got to regroup' during bye…

“We’ve got to regroup and figure out what went wrong,” said defensive end Jason Pierre-Paul. “When we come back, we want to be a great team.”

NFL

Breno Giacomini: Media blowing up Golden Tate-Percy Harvin…

According to Breno Giacomini, the fight between Golden Tate and Percy Harvin during Super Bowl week was over by the time the lineman turned around.

Education

Is a 'gap year' after high school for…

It’s a familiar script that millions of students follow each year: Graduate high school and then immediately start college. But more and more students are…

Parenting

New news about Kate Middleton's pregnancy

The Palace released a statement about Kate Middleton's pregnancy.

Parenting

Cool book for kids: 'The Princess In Black'

"The Princess In Black" will change the way girls view princesses.

Wellbeing

Gabby Bernstein: The 3 questions I always get

For the last decade, I’ve been writing self-help books and preaching the Gospel of Gabby to audiences throughout the world. And no matter what country…