Savannah, Ga.-based St. Joseph's/Candler Health System will pay the state of Georgia $2.717 million in a civil settlement over Medicaid billing for inpatient and outpatient services at its two Savannah-area hospitals, according to a news release from the Georgia Attorney General.
The settlement follows an 11-month investigation on SJCHS's billing for cross-over claims, or those made for patients enrolled in both Medicare and Medicaid. The investigation found that SJCHS filed claims that were short of the full amount of Medicare prior payments, allowing the system to receive excessive reimbursement.
SJCHS also agreed to pay an additional $2,500 to defray the costs of the investigation. The system cooperated fully with the State’s investigation and implemented corrective actions to ensure that similar billing problems do not reoccur, according to the release.
Read the release on St. Joseph's/Candler Health System's $2.7 million settlement over Medicaid billing.
Read about other recent healthcare settlements:
- AmeriHealth Mercy Health Plan Pays $2M to Settle Medicaid Fraud Allegations
- St. Jude Medical to Pay $16M to Settle Kickback Allegations
- Pharmaceutical Company Will Pay $280M to Settle False Claims Allegations
The settlement follows an 11-month investigation on SJCHS's billing for cross-over claims, or those made for patients enrolled in both Medicare and Medicaid. The investigation found that SJCHS filed claims that were short of the full amount of Medicare prior payments, allowing the system to receive excessive reimbursement.
SJCHS also agreed to pay an additional $2,500 to defray the costs of the investigation. The system cooperated fully with the State’s investigation and implemented corrective actions to ensure that similar billing problems do not reoccur, according to the release.
Read the release on St. Joseph's/Candler Health System's $2.7 million settlement over Medicaid billing.
Read about other recent healthcare settlements:
- AmeriHealth Mercy Health Plan Pays $2M to Settle Medicaid Fraud Allegations
- St. Jude Medical to Pay $16M to Settle Kickback Allegations
- Pharmaceutical Company Will Pay $280M to Settle False Claims Allegations