The providers at the health system allegedly improperly received between 10% and 15% more in Medicare and Medicaid reimbursements for falsely billed services.
The settlement agreement totaling $560,718 should resolve allegations of overbilling.
A situation like this is worst-case scenario for revenue cycle leaders, and leaders should ensure their organization’s billing practices are appropriate; one way to do so is through internal audits.
The federal and state governments allege that the Yale New Haven Health and Northeast Medical Group submitted false Medicare and Medicaid claims, which has since resulted in a hefty settlement from the system.
The settlement agreement totaling $560,718 should resolve allegations of overbilling by Yale, violating federal and state laws for submitting false claims to Medicare and Medicaid for services billed by physicians when they should’ve been billed at the lower reimbursement rate of mid-level providers, according to the Department of Justice (DOJ).
The DOJ says the healthcare providers submitted the false claims between July 2014 and June 2020, and as a result, the providers improperly received between 10% and 15% more in Medicare and Medicaid reimbursements for the allegedly falsely billed services.
The allegations were...
Park Filed Complaint Against President Lee Ahead of 2021 Election Jang Youngha Sentenced to One Year in Prison, Two Years Probation Confirmed The police have launched an investigation into Park Chu...