University Overbilled Medicare and Medicaid for Patients Enrolled in Clinical Trial Research at Emory’s Winship Cancer Institute

ATLANTA – The United States Attorney’s Office for the Northern District of Georgia and Attorney General Sam Olens announced today they have reached a settlement with Emory University, which agreed to pay $1.5 million to settle claims that it violated the False Claims Act by billing Medicare and Medicaid for clinical trial services that were not permitted by the Medicare and Medicaid rules.

Providers generally are not permitted to bill Medicare for medical care and services for which the clinical trial sponsor has agreed to pay.  Here, the United States and the State of Georgia alleged that Emory University billed Medicare and Medicaid for services the clinical trial sponsor agreed to pay (and, in some cases, actually did pay, thereby resulting in Emory’s being paid twice for the same service). ”

For the rest of this press release, please visit:
http://www.justice.gov/usao-ndga/pr/emory-university-pay-15-million-settle-false-claims-act-investigation