Fraud & Abuse:
Ignore Internal Audit Findings At Your Own Peril
Published on Tue Jan 12, 2010
The dirt you sweep under the rug could turn into an expensive whistleblower lawsuit. A recent whistleblower lawsuit at a health system points to mistakes you should be avoiding in your home care organization. Genesys Health System recently paid nearly $670,000 to settle a False Claims Act lawsuit initiated by an internal auditor. The auditor blew the whistle on alleged upcoding of physician services at the organization. While the Genesys lawsuit involves doc services, the same thing could happen with home care services, legal experts warn. What happened: The government alleges that Genesys, a multi-facility organization in Grand Blanc, Mich., overbilled Medicare from 2001 to 2007 for evaluation and management services rendered to cardiology patients, according to a Department of Justice release. The whistleblower in the case received a $133,882 share of the settlement, notes the DOJ. Read the government's lips: "The relator can be proud that she brought these [...]