Three Philadelphia-area hospitals self-disclosed to the government that on several occasions, they had improperly billed Medicare for “one-day inpatient hospital admissions” which should have been billed as “observations” or “outpatient visits.” The hospitals agreed to pay the government a total of $7.9 million to resolve concerns about the miscoded claims. This is an emerging area for whistleblower lawsuits due to RAC audits and other new checks and balances.

For more information about qui tam law and Medicare fraud, contact Nolan and Auerbach, PA.