Chairman of the Jewish Hospital Infection Control Committee agrees to pay $984,705 to settle Federal Civil Fraud Claims brought by U.S. Attorney David Huber.

Dr. Julio Melo is the Chairman of the Jewish Hospital Infection Control Committee. His committee reviewed hospital efforts to prevent the spread of infections in the hospital.
 

 Glen Bray, a former maintenance supervisor at Jewish Hospital who was in charge of the cleaning crew who cleaned patient rooms provided a statement in the original lawsuit claiming that he was not permitted enough time to clean the rooms before new patients were placed in the infected rooms.
 

Jewish Hospital was sued by two Louisville Attorneys who brought claims of 96 former patients (and turned down 275 other claims) who claimed they picked up infections while patients at Jewish Hospital.
 

The Hospital responded by personally suing Joseph L. White and Michael in a strike back lawsuit, claiming that they had not secured the opinion of a medical expert prior to filing their lawsuits. Dr. Melo is a logical witness that may be called by either party in the pending strike back lawsuit to discuss the hospitals efforts in controlling the spread of hospital infections.

 

The following press release was distributed by the U.S. Attorney’s Office.
 

LOUISVILLE  PHYSICIAN AGREES TO PAY OVER $980,000 TO
SETTLE FEDERAL FALSE CLAIMS ACT AND CIVIL FRAUD CLAIMS
 

David L. Huber, United States Attorney for the Western District of Kentucky, along with

the Office of the Inspector General for the Department of Health and Human Services (“OIGHHS?) announced today that Julio C. Melo, M.D., of Louisville, Kentucky, has agreed to pay $984,705.71 to settle allegations that between January 1, 2000, and August 20, 2006, Dr. Melo submitted false claims to Medicare, Medicaid and other federally-funded health care programs (collectively “federally-funded health care programs?).

 

According to the settlement agreement, the United States maintains that Dr. Melo

improperly submitted claims for payment to federally-funded health care programs for

Evaluation and Management (“E&M?) services which, based on the American Medical

Association’s Current Procedural Terminology coding system’s (“CPT?) recommended times, resulted in numerous days in which the CPT’s E&M time guidelines exceeded 24 hours in duration.

 

The United States also maintained that Dr. Melo improperly submitted bills for an

“initial inpatient consultation? on existing patients who were merely transferred between

facilities.

 

Dr. Melo, who has been practicing for over 30 years, denies any wrongdoing.

Dr. Melo has also agreed to enter into a five year Integrity Agreement with the OIG

 

 

 

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