New Jersey Hospitals Present Unique Outlier Cases

Law360, New York (September 25, 2006, 12:00 AM EDT) -- On June 14, St. Barnabas Corporation, the largest health system in New Jersey, agreed to pay the United States $265 million to settle allegations that it defrauded the Medicare program by inflating its charges. In its press release, the government stated simply that St. Barnabas had allegedly raised its charges to Medicare patients to obtain enhanced reimbursement.

The complex legal and factual issues raised by these claims warrant closer examination, both by other hospitals that may be undergoing a similar investigation and by any entity that...
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