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Justice News

Department of Justice
U.S. Attorney’s Office
Eastern District of Pennsylvania

Friday, October 28, 2016

Albert Einstein Healthcare Network And Einstein Practice Plan Agree To Settlement Of Voluntary Disclosure

The United States announces that it has settled allegations under the False Claims Act with Albert Einstein Healthcare Network and the Einstein Practice Plan for improperly billing Medicare for services submitted on behalf of a cardiologist. The Einstein defendants voluntarily disclosed the allegations and have agreed to pay $968,418.60 to resolve the matter. The cardiologist no longer works for the Einstein defendants. 

According to the self-disclosure and the investigation that followed, between October 15, 2010 and January 9, 2012, bills were submitted to Medicare for services performed by the cardiologist which the United States alleges were not medically necessary or lacked sufficient documentation, resulting in overpayments to Einstein. The United States alleges that false claims were submitted to the government. After it discovered the problem, the Einstein defendants took corrective action to resolve the improper payments, and disclosed the matter to the United States Attorney’s Office.

This matter was handled by Department Health and Human Services Office of the Inspector General, including Attorney Katherine Matos, and Assistant United States Attorney Susan Dein Bricklin and Auditor George Niedzwicki.

Health Care Fraud
Updated October 28, 2016