Boston Hospital To Pay Over $5 Million In Improper Medicare Claims

August 1st, 2013 by Qui Tam

Beth Israel Deaconess Medical Center, located in Boston and one of the world’s leading teaching hospitals, will pay over $5 million to settle allegations of improper Medicare claims.

The U.S. Attorney’s Office said the hospital improperly filed claims from 2004 to 2008 for inpatient admissions for patients who stayed overnight with congestive heart failure, chest pain and other ailments.  What should have been billed as observational services, an outpatient service, was actually billed as inpatient admissions which Medicare reimburses at significantly higher rates.

The hospital, though not admitting any wrongdoing, will pay $5.315 million to settle the allegations that it violated the False Claims Act.

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