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Johns Hopkins University

Bayview Medical Center False Claims Act Case

Date: 06/30/2009 (Date of Announcement)

Misconduct Type: Government Contract Fraud

Enforcement Agency: Health and Human Servs.

Contracting Party: Health and Human Servs.

Court Type: Civil

Amount: $2,750,000

Disposition: Settlement

Synopsis: Johns Hopkins Bayview Medical Center, Inc. agreed to pay the United States $2.75 million to settle claims that it submitted false claims to federal health benefits programs over a twenty month period between July 2005 and February 28, 2007. According to the settlement agreement, during the time period at issue, Johns Hopkins Bayview Medical Center submitted fraudulent claims to the Maryland Health Services Cost Review Commission (HSCRC), which sets acute inpatient care rates that are used by all insurance companies, including federal health benefit plans. The claims submitted to the HSCRC by Bayview allegedly included false statements that certain conditions existed that were not actually diagnosed or treated during patients’ admissions.