Hospital's Medicare Woes Signal Shift In Feds’ FCA Tactics

Law360, New York (February 13, 2013, 8:44 PM EST) -- An unusual, recently settled criminal case targeting a North Carolina hospital over a common Medicare patient classification problem should put hospitals on alert that federal prosecutors are renewing their 1990s-era scrutiny of hospital billing practices, experts say.

Last week, a judge approved a settlement deal with WakeMed Health and Hospitals, including a two-year deferred prosecution on charges of making materially false statements, an $8 million payment to the government and a corporate integrity agreement.

WakeMed's Raleigh facility, a community nonprofit hospital, drew the attention of regulators in...
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