Geisinger Settles $ 18.5 Million Medicare False Claims

The Justice Department announced Monday that Geisinger will pay $ 18.5 million to settle false claims filed with Medicare for hospice and home health services.

Geisinger voluntarily reported billing errors committed by Geisinger Community Health Services between 2012 and 2017. According to the justice system, claims regarding a doctor’s certificate of incurable diseases, the choice of patients for admission to hospice and the doctor’s personal communication with patients who are at home are a violation of the Medicare program law. Branch.

“The $ 18 million payment on this issue reflects that healthcare providers must prioritize ensuring compliance with all Medicare rules and regulations,” Acting US Attorney Bruce Brandler said in a press release. “I recommend [Geisinger Community Health Services] for taking it seriously, voluntarily reporting these issues to our office and working to fix the issues that led to these violations. “

A nonprofit system of nine hospitals based in Danville, Pennsylvania said in a statement that Geisinger discovered erroneous bills during a routine self-test and took immediate corrective action.

“Since the discovery of these deficiencies, we have conducted subsequent audits that have shown 100% compliance and we do not expect any additional billing deficiencies associated with these services,” the company said.

The civil settlement accounts for approximately 0.3% of Gesinger’s $ 7.12 billion in 2020 revenue, down marginally from $ 7.15 billion the previous year. Health care system recorded operating loss in 2020 was $ 38.3 million compared to operating income of $ 118.8 million in 2019.

Last year, the Justice Department raised about $ 1.86 billion in civil claims settlement under the False Claims Act. Every year from 2010 to 2019, federal law enforcement agencies received at least $ 2 billion in fraud settlement.

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