Geisinger Medical Center in Danville, Pa., has agreed to pay the federal government $1.3 million to resolve allegations of improper Medicare billing, according to a Daily Item report.
The alleged overbilling took place from Jan. 2001-Dec. 2006. U.S. Attorney Peter J. Smith claimed the hospital submitted Medicare claims that contained management services not allowable under Medicare requirements.
More specifically, Medicare doesn't normally issue additional payments for management services offered by a provider the same day a procedure is performed. These "Modifier 25" services were allegedly incorrectly attached to Geisinger's claims, resulting in Medicare's overpayment.
Geisinger said the $1.3 million represents 0.138 percent of the company's total Medicare billings from 2001-2006. Geisinger and the Department of Justice noted that the hospital had voluntarily refunded more than $510,000 in overpayments in the past. Geisinger had also changed its billing practice before being contacted by the government.
Read the Daily Item report on Geisinger Medical Center's settlement.
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The alleged overbilling took place from Jan. 2001-Dec. 2006. U.S. Attorney Peter J. Smith claimed the hospital submitted Medicare claims that contained management services not allowable under Medicare requirements.
More specifically, Medicare doesn't normally issue additional payments for management services offered by a provider the same day a procedure is performed. These "Modifier 25" services were allegedly incorrectly attached to Geisinger's claims, resulting in Medicare's overpayment.
Geisinger said the $1.3 million represents 0.138 percent of the company's total Medicare billings from 2001-2006. Geisinger and the Department of Justice noted that the hospital had voluntarily refunded more than $510,000 in overpayments in the past. Geisinger had also changed its billing practice before being contacted by the government.
Read the Daily Item report on Geisinger Medical Center's settlement.
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