Outside Auditor Blows The Whistle On Shands Hospitals

August 27th, 2013 by Qui Tam

Terry Myers tried in vain to have Shands Hospitals self report improper billing practices his company found during routine audits over several years.  The improper billing concerned Shands practice of routinely admitting Medicare and Medicaid patients who were not sick enough to need inpatient care.  Myers also alleged that Shands improperly billed for outpatient care, as well.  When Shands refused to self report, Myers filed a lawsuit under the false claims act.  Last week, the government reported a partial settlement of claims relating to the inpatient component of the lawsuit.  Shands agreed to pay $26,million  to resolve those claims.  The outpatient claims remain unresolved.  The government announced its intervention in the case that remains.

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