October 18, 2019 / 10:04 PM / a month ago

IN BRIEF: NYC hospital system defeats Medicaid fraud case on appeal

A federal appeals court has upheld the dismissal of a whistleblower lawsuit accusing New York City and its municipal healthcare system of conspiring to submit claims to Medicaid that a computer system flagged as being ineligible for reimbursement.

The 2nd U.S. Circuit Court of Appeals in New York on Thursday ruled that Andrew Gelbman, a former IT specialist at NYC Health + Hospitals, failed to sufficiently allege how the fraudulent scheme worked or who specifically carried it out.

To read the full story on WestlawNext Practitioner Insights, click here: bit.ly/2MMNkLa

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