Prestigious New York Hospitals Settle False Claims Act Complaint Alleging Medicare Fraud

On October 6, 2011, federal authorities announced the settlement of a health care fraud lawsuit against the trustees of Columbia University, New York Presbyterian Hospital, and Dr. Erik Goluboff for $995,000.  The settlement resolves allegations that the defendants caused Medicare to be over-billed for urological procedures and billed for urological tests that were medically unnecessary.

Specifically, the lawsuit alleged that Dr. Goluboff, a urologic oncologist, violated Medicare regulations by conducting diagnostic tests that were medically unnecessary, billing Medicare for those tests in such a way as to generate improper and excessive reimbursement amounts, and billing Medicare for more procedures than he was physically able to perform in a given day.

Manhattan U.S. Attorney Preet Bharara stated:  “This case should serve as a reminder that regardless of how well-established or prestigious the entity or individual, this office will pursue those who engage in Medicare fraud.”

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