This story is closed for comments.
SMAPAEA Feb 7, 2:05 p.m.
Spent all that time crying about how the state had a monopoly on health care...good thing they do...the state gets audited much more frequently...and none of the state hospitals seem to be in trouble for overcharging medicare patients.
concerncitizen Feb 6, 12:29 p.m.
Keep up the pressure Judge Boyle!
watchingtheclouds Feb 6, 11:39 a.m.
Pandora and bill both need to go and Pandora got a promotion last year come on people she is head of corp. compliance
emtp2k Feb 6, 11:32 a.m.
Funny how it wasn't too difficult to overcharge the patients and medicare, but it's too difficult to figure out who to reimburse for the excess charges.
bopeace1999 Feb 6, 11:29 a.m.
Wake Med cheats TriCare too. When will *that* be investigated?
wildpig777 Feb 6, 10:46 a.m.
somebody wants thier cut of the pie..... i think i know who.
I Carry even in Cary Feb 6, 10:24 a.m.
think that Judge Boyle should issue a order that WakeMed is to be acquired by either REX or DUKE medical and that all of the WakeMed management and the Board of directors be dismissed. That would satisfy everything, nobody would lose their jobs except the management that allowed this robbery, and the Medicare patients would still have a medical center at the same locations they were going to before this scam came to light.
Yes and then we could all march in straight lines down New Bern and salute the Raleighs Grand Chancellor. Judges, Presidents, Congress...nobody can order somthing like that...unless we live in a marxist society...and we arent there quite yet.
Rebelyell55 Feb 6, 10:12 a.m.
They just up the amount of money and case will be closed.
watchingtheclouds Feb 6, 10:11 a.m.
the managers need to go to jail they know who they are!!!!!!!!!!!!!!!!
watchingtheclouds Feb 6, 10:05 a.m.
Someone needs Jail time make WAKE MED a EXAMPLE!!!!!!!!!!!!!!!!!!!
commonsense4 Feb 6, 10:04 a.m.
"There is a reason that no criminal charges are being made..."
Yes, the medical industry has the best lobbyists in the country! And that is why we need health reform and that is why every hospital, doctor, and pharmaceutical company is against it . . . so they can keep on gouging us at every level!
soyousay Feb 6, 9:26 a.m.
Criminal charges...oh yes they were made..the sweetheart deal was they admitted to them BUT deferred prosecution if they are good boys and girls for a while...
soyousay Feb 6, 9:21 a.m.
The board was hand selected by Bill. I imagine everyone has lawyered up.. this was either "epic" leadership failure to supervise and basically being in a coma all those meetings or it is the cuture and many cooks spoiled this broth. Remember if any employee is offered up as a sacrifice, that employee will become an instant whistleblower
Sherlock Feb 6, 9:19 a.m.
There is a reason that no criminal charges are being made...
watchingtheclouds Feb 6, 8:37 a.m.
When will the board of directors wake up Bill and the managers of that department need to go...Wake Up people My god!!!!!!!!!!!!!!!!!!
soyousay Feb 6, 8:18 a.m.
The system will not close down, a deal will be cut and a few months from now Bill will retire
soyousay Feb 6, 8:17 a.m.
to even imply that well-meaning but misguided people did this without any one above them noticing when cardiac revenue was the big revenue generator is absurd and insults everyone. All of the stats are routinely scrutinized up and down the organization continiuously like any other business with and income in the tens of millions a year. Oh and the CFO pilots that boat
jwkrock Feb 6, 8:13 a.m.
Anyone calling for the closing down of the hospital is an absolute fool. We have a high enough unemployment rate in this state already. Now you want to put 8500 workers out on the street because of the actions of one man? On top of that, McCrory wants to cut unemployment? What world do you people live in?
soyousay Feb 6, 8:09 a.m.
The employees of Enron suffered too, unfortuantely not just a few of those employtees helped foster the culture of corruption. No one midlevel or below thought this up on their own. This is the tip of the iceberg. Wake played fast and loose with CON regs too, to build "Obs" bed and then stuff them with inpatients- no windows, many times no private toilet or one in the corener of the room with a curtain. OBs 3 has no doors and several patients share a toilet regardless of why they were admitted. The same department who brought this horror also decided where patients went and changing from obs to inpatient status was a never ending game- to the advantage of the hospital. People could be in "observation" status for days. Their care was ot affected, no provider could tell who was and wasn't- but the finance dept could tell. The judge is right
happymom Feb 5, 7:49 p.m.
And shutting down WakeMed would be a horrible outcome. The biggest losers would be the large number of employees who had nothing to do with the fraud and the people who depend on WakeMed for their medical care. That is a bad outcome.
Especially now that our state has decimated the unemployment system. There is no way that number of workers could just be absorbed into the other hospitals, and it would not serve the public interest to increase the number of unemployed in an already small job market.
happymom Feb 5, 7:46 p.m.
"Remember that the The North Carolina Division of Health Service Regulation has to approve additional beds and hospital expansions. With inflated inpatient bed occupancy numbers at WakeMed it makes you wonder if the process of hospital expansion, throughout the Triangle was compromised too, this time to the state itself. It looks like fraud may have many sides."
Because of the methodology used, I don't think so. You'd have to look closely at the State Medical Facilities Plan and review how many beds were opened in Wake County due to the patient days of care reported. WakeMed's numbers are pooled with the other hospitals in the county to determine bed need so it is not entirely dependent on their numbers alone, but it is possible that it was compromised- depending on the number of days of care reported.
Nice to see someone who is familiar with the system.
werrewolfwoman Feb 5, 7:17 p.m.
WakeMed's level of care is unsurpassed in this city, but this mess cannot be overlooked. Why should they not have to reimburse patients that overpaid? My husband was billed for services he was told up front was completely covered by his insurance. When he got the bill and tried to dispute it, the runaround he got almost gave him another heart attack so he just paid it. It wasn't too complicated for them to overbill, so they can just do all the grunt work required to repay. I see no reason whatsoever they should be allowed to not have to pay back patients they paid them directly.
imtiredofit Feb 5, 7:01 p.m.
I think that Judge Boyle should issue a order that WakeMed is to be acquired by either REX or DUKE medical and that all of the WakeMed management and the Board of directors be dismissed. That would satisfy everything, nobody would lose their jobs except the management that allowed this robbery, and the Medicare patients would still have a medical center at the same locations they were going to before this scam came to light.
soyousay Feb 5, 6:56 p.m.
First. Wake would not completely fold . Bill needs to go
fishbowl Feb 5, 6:39 p.m.
This judge has an issue with WakeMed. For all of you that think you understand this issue and what if WakeMed closed? How do you think that would impact the area? They are the Level 1 trauma center. Does the government what to transport everyone with major traumas to Pitt? If you think that Duke and Rex have never had these fines then you haven't done your research. This judge needs to considered the impact past the first insult. Plus, the government (Medicaid/Medicare) has had their fair share unjust reimbursement to healthcare. They can't claim the victim. Patients are at the disadvantage to the system, but destroying WakeMed will not help the area.
csmith01 Feb 5, 6:37 p.m.
Where do people think Wake Med got the money to try and bid for Rex a couple of years ago 750 million $. The sad part is the money is coming from us, just look at your pay stub. Medicare taxes we pay.
sunshine1040 Feb 5, 6:35 p.m.
Once again Wake Med will not pay the fine . Our insurance companies will pay and we get the rate increase so we working folks get the stick again
iamconfused Feb 5, 6:34 p.m.
There are stories all the time about Medicare fraud. It's about time the courts go after the some of the major violaters. Fine them severley and maybe that will set the record that fraudsters will be prosecuted and violaters fined and responsible individuals be incarcerated. Maybe others will reconsider her actions.
heelsgirl05 Feb 5, 6:29 p.m.
Great....once again honest Wakemed Employees will have to be punished for the actions of a few crooked ones.
Caveman93 Feb 5, 6:17 p.m.
The Medical Cartel has immunity from prosecution. Period. Move along.
Judges are paid, courts are rigged. No justice here.
jet2rdu Feb 5, 5:56 p.m.
Remember that the The North Carolina Division of Health Service Regulation has to approve additional beds and hospital expansions. With inflated inpatient bed occupancy numbers at WakeMed it makes you wonder if the process of hospital expansion, throughout the Triangle was compromised too, this time to the state itself. It looks like fraud may have many sides.
jet2rdu Feb 5, 5:45 p.m.
This is nothing new. Those who wear masks have been robbing the public for centuries. Once they used guns, now they use computers.
Geez Louise Feb 5, 5:40 p.m.
"The Medical Cartel has immunity from prosecution. Period. Move along." Caveman93
--And they're nothing but monopolies that can charge anything they want.
KermitDFrog Feb 5, 5:30 p.m.
This abuse is not limited to one hospital system in NC. This is not an isolated case. Throw the book at Wakemed and put some "suits behind bars". Once that happens, I bet hospitals across the country will start refunding the Feds.
I'd also start offering big rewards and anonymity to all whistleblowers. I'm sure some folks knew. All we need are a few honest ones to speak up.
imtiredofit Feb 5, 5:26 p.m.
Congratulations to Judge Boyle, I hope he throws the book at whoever fostered this scam by Wakemed. He should have the prosecutors do a thorough investigation to find out who perpetrated this scheme and then prosecute them to the full extent of the law. Maybe then some of these Medicare scam artists will think twice before trying to take advantage of Medicare and the taxpaying public.
Terkel Feb 5, 5:23 p.m.
Make an example of them. Remember all hospitals are watching.
Surrey Hills Feb 5, 5:03 p.m.
Old Bill sure has a nice $1m home that he can afford thanks to wake med
MadBiker Feb 5, 5:02 p.m.
If this had been a small practice or solo practice, that entity would have been prosecuted, license suspended, fines and some prison time. How nice to have immunity from prosecution because you're "too big to fail".
rachel Feb 5, 4:56 p.m.
Quagmire- actually if Wakemed no longer accepts Medicare/Medicaid patients and only accepts private insurance- they might actually make some money-although their volume would go way down.
rachel Feb 5, 4:54 p.m.
kurtsdollarbill-" and they wouldn't take my hard earned tax dollars"- the other hospitals probably wouldn't take your insurance either and you would be stuck without care. More and more doctors etc are limiting the numbers of medicare patients they will accept due of limited reimbursment-close Wakemed-where are they all going to go? Just because there is a hospital across town, doesn't mean their doctors or facility will accept you- the only guaranteed access you have is to any emergency room.
rachel Feb 5, 4:49 p.m.
The problem they are facing is this- although the situation deserves prosecution, the responsible parties will not end up in jail- what will happen is a lot of innocent people will lose their jobs and the community will lose the services of the hospital when Medicaid/Medicare dollars are withheld-it simply isn't possible, by federal law, to go after the guilty parties without the community and the employees taking the fall. The judge is commendable in his desire to punish wakemed-the trick is how to do this without impacting the community and the innocent employees-we don't have any laws in place to keep the worst repercussions from happening in our zeal to get the bad guys.
lwe1967 Feb 5, 4:36 p.m.
I suppose that the Judge saw through the ease at which WakeMed was trying to slip by with little hurt to themselves.
Honesty first Feb 5, 4:36 p.m.
Billing as an inpatient when the patient never stays at tehhospital is very common. Many times when a patient goes to a hopsital for a 3-4 infusion, they are billed as inpatients
kmanc4s Feb 5, 4:32 p.m.
The Federal Government should go after Wake Med with all the force of law at their disposal. Wake Med committed Medicare Fraud as a systemic procedure and should suffer the full consequences.
whatelseisnew Feb 5, 4:32 p.m.
"Prosecutors have said they are confident they would prevail if the case went to trial, but they noted a conviction could bar WakeMed from participating in the Medicare and Medicaid programs. The settlement serves the public interest, they said."
How so? this outfit committed fraud and they will do it again and again. In addition to restitution and fines, SOMEONE from that outfit needs to go to PRISON. With a national system like this, fraud is ALL to easy to do and providers and the billing folks understand how to game the system. The ONLY rationale is that these programs DO NOT pay adequate reimbursements. By FEDERAL LAW they should be matches the payments a PRIVATE insurer will pay. As it is, these programs encourage dishonest behavior at worse and at best those with private insurance are making up the difference in the underpayment and that is ALSO a form of fraud. Kudos, to the Judge.
lsdhome Feb 5, 4:30 p.m.
Judge Boyle for President!!!
Quagmire Feb 5, 4:25 p.m.
If WakeMed no longer accepts Medicaid or Medicare patients, do their costs go down?
They would be more profitable.
Quagmire Feb 5, 4:24 p.m.
If someone thinks 8 million is going to shut down WakeMed they are sorely mistaken pork belly
The had 800 million to buy Rex so they can use that money to pay back Medicare.
keymania Feb 5, 4:24 p.m.
Wikipedia "Though originally a public hospital, WakeMed is currently a private, not-for-profit corporation..."
I was mistaken that this was a locally-funded County hospital. Let the criminals go to court for federal fraud.
dipenkara Feb 5, 4:23 p.m.
I don't get it. Are the prosecutors paid by Wake Med or something?
Published: 2007-10-05 09:38:00
Updated: 2014-06-24 16:03:36