Hospital Co. Beats $61.8M FCA Suit Over Medicare Coding

By Dave Simpson (August 6, 2019, 7:01 PM EDT) -- A Texas federal judge nixed a $61.8 million False Claims Act suit alleging Baylor Scott & White Health overbilled Medicare during a seven-year period, ruling that the whistleblower failed to properly allege anything other than "naked assertions" of wrongdoing on the part of the hospital.

U.S. District Judge David A. Ezra on Monday dismissed with prejudice all claims brought by relator Integra Med Analytics LLC that the health care system schemed to increase the use of a specific Medicare diagnosis code in order to get more revenue. Judge Ezra found that, at most, the complaint shows that the health system made...

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