Please E-mail suggested additions, comments and/or corrections to Kent@MoreLaw.Com.
Help support the publication of case reports on MoreLaw
Date: 03-03-2023
Case Style:
United States of America v. Wake Forest University Baptist Medical Center (WFBMC)
Case Number: 20-CV-386
Judge: None
Court: United States District Court for the Middle District of North Carolina (Guilford County)
Plaintiff's Attorney: United States Attorney's Office in Greensboro
Defendant's Attorney: Benjamin P. Winikoff
Description: Greensboro, North Carolina civil litigation lawyer represented Defendant accused of violated the False Claims Act by billing for Medicare reimbursement for physical and occupational theory services provided to patients at the Wilkes SNU that were not supported by documentation.
table>
Federal Courthouse - Greensboro, North Carolina
The United States initiated its investigation when a whistleblower filed a lawsuit under the qui tam provisions of the False Claims Act, which allow private parties to bring suit on behalf of the government and to share in any recovery. WFBMC cooperated with the United States’ investigation and took remedial actions to address the issues discovered during the investigation.
“Medical facilities that submit claims to Medicare must ensure that those claims are supported by documentation and are medically necessary,” said Sandra J. Hairston, United States Attorney for the Middle District of North Carolina. “This office is dedicated to protecting federal health care programs and ensuring that the government does not pay for unsupported claims.”
This case was handled by the U.S. Attorney’s Office for the Middle District of North Carolina with assistance from Office of Inspector General of the United States Department of Health and Human Services.
Federal Courthouse - Greensboro, North Carolina
Outcome: Settled for $745,585.
02/16/2023 47 STIPULATION of Dismissal of Relator Tonya Cook, and the United States by THE UNITED STATES, EX. REL.. (CRAWFORD, CASSANDRA) (Entered: 02/16/2023)
Plaintiff's Experts:
Defendant's Experts:
Comments: