Please E-mail suggested additions, comments and/or corrections to Kent@MoreLaw.Com.
Help support the publication of case reports on MoreLaw
Date: 01-24-2017
Case Style:
Jeanmarie Briscela v. University of Pennsylvania Health System
Case Number: 2:16-cv-00614-LS
Judge: Lawrence F. Stengel
Court: United States District Court for the Eastern District of Pennsylvania (Philadelphia County)
Plaintiff's Attorney: Julia Clark, Ari Karpf and Mark Tieman for Jeanmarie Briscela
Susan Becker for the United States of America
Defendant's Attorney: Eleanor Farrell, Eric Kim, Jeff Sturgeon
Description: Philadelphia, PA - University Of Pennsylvania Health System Agrees To Settle Voluntary Disclosure Of Improper Medicare Billing For Unnecessary Stent Procedures
The United States announced that it has settled allegations under the False Claims Act with the University of Pennsylvania Health System (“UPHS”) for improperly billing Medicare for stent procedures two interventional cardiologists performed at Pennsylvania Hospital between 2008 and 2012. UPHS voluntarily disclosed the allegations to the U.S. Attorney’s Office and has agreed to pay $845,000 to resolve the matter. The cardiologists no longer work at Pennsylvania Hospital.
The government launched an investigation based on the UPHS voluntary disclosure. The investigation determined that UPHS submitted bills to Medicare for services provided by the cardiologists that the United States alleges were medically unnecessary, resulting in overpayments to UPHS. After it discovered the problem, UPHS cooperated with the government’s investigation, and implemented a new quality assurance plan for procedures performed in the Pennsylvania Hospital cardiac catheterization lab. In addition, UPHS notified potentially affected patients of its internal review of stent procedures and offered free evaluations by UPHS’ cardiologists. UPHS also voluntarily disclosed the allegations to state regulators.
This matter was investigated by the Office of the Inspector General of the Department of Health and Human Services, and by Auditor Dawn Wiggins and Healthcare Fraud Analyst Ray Uhlhorn of the U.S. Attorney’s Office.
Outcome: Defendant has agreed to pay $845,000 to resolve the matter
Plaintiff's Experts:
Defendant's Experts:
Comments: