Relators Reinforce Appeal In Suit Alleging Employer Fraudulently Billed Medicare

Mealey's (July 29, 2022, 12:47 PM EDT) -- PHILADELPHIA — In a July 21 reply brief filed in the Third Circuit U.S. Court of Appeals, relators reiterated their argument seeking reversal of a Pennsylvania federal court’s summary judgment ruling in favor of their former employer in their lawsuit alleging that it fraudulently billed Medicare and Medicaid by admitting and recertifying patients for hospice who were not actually eligible for hospice, contending that the Centers for Medicare & Medicaid Services (CMS) “has made clear that the requirement of medical record documentation supporting hospice certification is a substantial requirement.”...