A recent client alert by Washington, D.C. partner Jesse Witten and associate Mark Sosnowsky was cited in a BNA article titled, “Former Hospital Owner MedCath Settles Medicare Billing Allegations for $6 Million.” 

The article discusses MedCath’s recent settling of billing allegations for some of its former hospitals, related to implantable cardioverter defibrillators.  Jesse and Mark noted in their client alert, “Department of Justice ICD Investigation Update: First Settlement Announced,” that MedCath's is the first settlement under an industry-wide investigation.

Jesse and Mark said that the DOJ has been investigating hospitals for billing Medicare for ICD implantations within 40 days of an acute myocardial infarction or within three months of a bypass surgery or angioplasty.  Jesse and Mark said that, “for some categories of patients, the NCD purportedly does not provide for coverage for ICD implantations when performed within those time periods.”

To read Jesse and Mark’s client alert, please click here.