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Tuomey Healthcare System in Sumter, S.C., violated the Stark law and submitted 21,000 false claims to Medicare, a federal jury decided on May 8 after a four-week trial. According to the verdict sheet, Tuomey's false claims have a monetary value of $39,313,065, which are subject to treble damages.
The closely watched trial sent shock waves through the legal community. One message from the case seems to be that "any time a hospital does not have a sold fair market value opinion supporting payments made to referring physicians, they are on thin ice," says Pittsburgh attorney William Maruca.
Originally published in Report on Medicare Compliance
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