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Geisinger to pay feds $18.5 million to resolve Medicare claims case

Patriot-News - 11/1/2021

Geisinger Community Health Services will pay an $18.5 million civil penalty to resolve allegations it violated Medicare rules in filing claims for hospice and home health care, a federal prosecutor announced Monday.

Acting U.S. Attorney Bruce Brandler said the payment covers errors in those filings submitted by Geisinger between January 2012 and December 2017.

He said Geisinger officials discovered the errors and reported them to federal authorities. Brandler said the errors involved regulations regarding physician certifications of terminal illness, patient elections of hospice care, and physician face-to-face encounters with home health patients.

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