We successfully represented a hospital in connection with a self-disclosure to the U.S. Department of Justice and settlement of potential FCA claims regarding the medical necessity of in-patient psychiatric services.
Self-Disclosure and Resolution Regarding Medically Unnecessary In-Patient Psychiatric Services
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Representation of hospice provider in intervened FCA action pending in Eastern District of Tennessee based on allegations that hospice services provided not medically necessary
Lead counsel representing Northwest Medical Center (Tucson, Arizona) in FCA lawsuit alleging that Northwest improperly billed Medicare for outpatient therapy services through failure to document the exact number of minutes of therapy provided to patients. The federal district court dismissed this case on the grounds that the complaint did not satisfy the pleading requirements of Rule 9(b) or plead the underlying falsity of the claims at issue. U.S. ex rel. McFeeters v. Northwest Hospital, LLC, 2015 WL 328212 (M.D. Tenn. Jan. 23, 2015)