Geisinger Community Health Services has agreed to pay $18.5 million to resolve allegations of civil liability for submitting claims to Medicare for hospice and home health services that violated Medicare rules and regulations, according to the United States Attorney’s Office for the Middle District of Pennsylvania. GCHS voluntarily disclosed the violations.
According to the voluntary disclosures, between January 2012 and December 2017, through several affiliated entities, GCHS submitted 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. After it discovered the problems, GCHS took corrective action and disclosed the matter to the US Attorney’s Office. Read more.
