Penn State Health to pay over $11 million for improper billings
HARRISBURG, Pa. (WHTM) — The United States Attorney’s Office for the Middle District of Pennsylvania announced that Penn State Health would pay over $11 million for improper billings that occurred over approximately seven years.
According to U.S. Attorney Gerald M. Karam, Penn State Health had voluntarily disclosed that from December 2015 to November 2022, they had submitted claims to Medicare for Annual Wellness Visit services which were not supported by the medical record. Furthermore, these claims violated Medicare’s rules and regulations.
After Penn State Health discovered these problems, they went and disclosed the matter to the United States Attorney’s Office.
To resolve these allegations of civil liability, Penn State Health agreed to pay $11,712,336.
“Penn State Health’s Compliance Office discovered a discrepancy with regard to documentation requirements for Medicare Annual Wellness Visits,” Penn State Health told abc27 news. “After discovering these documentation errors, Penn State Health voluntarily disclosed them to the United States Attorney’s Office. We have worked with United States Attorney’s Office and Health and Human Services Office of Inspector General on a settlement and repayment of any reimbursements that did not fully meet Medicare documentation requirements.”
This matter was handled by the Department of Health and Human Services, the Office of Counsel to the Inspector General and Assistant U.S. Attorney Tamara Haken of the Affirmative Civil Enforcement Unit of the U.S. Attorney’s Office for the Middle District of
Pennsylvania.
abc27 news will keep you updated as more information becomes available.
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