According to the settlement, Bayview submitted fraudulent claims to federal health insurance programs between July 1, 2005, and Feb. 28, 2007, and was reimbursed at an inflated rate based on these claims.
Two coding employees at Bayview filed a lawsuit under the False Claims Act and alleged that they were advised to increase reimbursement by “increasing the secondary diagnoses recorded for certain patients,” according to the release. The claims included malnutrition and acute respiratory failure, conditions which were not diagnosed or treated while the patients were at the hospital. The two employees will receive $550,000 from the total settlement.
Bayview denies the allegations, according to the release.
Read the release about the Johns Hopkins Bayview False Claims settlement.
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