Geisinger to Pay $18M Settlement Over Medicare Billing Violations

November 05, 2021 – The US Attorney’s Office for the Middle District of Pennsylvania announced that Geisinger Community Health Service (GCHS) reached an agreement to pay more than $18.5 million for allegedly violating Medicare billing rules for hospice and home health services.

GCHS voluntarily disclosed the violations between January 2012 and December 2017 to the United States Attorney’s Office.

The settlement resolves allegations concerning GCHS submitting claims to Medicare for hospice and home health services that violated Medicare rules and regulations regarding physician certifications of terminal illness, patient elections of hospice care, and physician face-to-face encounters with home health patients.

Source: Geisinger to Pay $18M Settlement Over Medicare Billing Violations / Revcycle Intelligence

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