Obvious Alternate Conclusion Sinks Relator’s Statistical Analysis as Evidence of Fraud; United States Court of Appeals for the Fifth Circuit No. 19-50818, U.S. ex rel. Integra Med Analytics LLC v. Baylor Scott & White Health, et al.

The Fifth Circuit affirmed a district court’s dismissal of a complaint alleging healthcare fraud. In support of the allegations, the relator provided a statistical analysis showing that the defendants billed Medicare using high-value billing codes at a much higher rate than other hospitals. According to the relator, this analysis provided evidence the defendants were fraudulently […]
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