UMDNJ’s University Hospital submitted claims to Medicaid for outpatient physician services that were also being billed by doctors working in the hospital’s outpatient centers, effectively doubling Medicaid payments, according to the release.
The case against UMDNJ originated from a whistleblower complaint filed under the Federal False Claims Act, which resulted in a criminal complaint filed against UMDNJ by the U.S. Attorney’s Office for the District of New Jersey. UMDNJ entered into a deferred prosecution agreement for the criminal complaint and paid $4.9 million.
Read the DOJ release on the UMDNJ Medicare fraud settlement (note: this link is no longer available on the DOJ’s website).
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
