Shands settles allegations of fraudulent outpatient claims
W&G successfully prosecuted this qui tam case against Shands Healthcare in Florida. The case alleged improper billing of Medicare and Medicaid for admitting patients to the hospital rather than treating them on an outpatient basis because the government pays more for services rendered on an inpatient basis. Shands Hospital case involved medical necessity allegations that led to a $22,000,000 settlement and outpatient overbilling charges led to another $3,000,000 settlement. The case settled for approximately $26,000,000.