Penn State Health agrees to pay over $11M after seven years of Medicare violations

07 February 2024- The United States Attorney’s Office for the Middle District of Pennsylvania announced that Penn State Health (PSH), a multi-hospital health system, has agreed to pay $11,712,336 to resolve allegations of civil liability for submitting claims to Medicare for Annual Wellness Visit (AWV) services that violated Medicare rules and regulations. 

According to the U.S. Attorney Gerard M. Karam, Penn State Health voluntarily disclosed that, between December 2015 and November 2022, PSH submitted claims to Medicare for Annual Wellness Visit services that were not supported by the medical record. After PSH discovered the problems, PSH took prompt corrective action and disclosed the matter to the United States Attorney’s Office. 

This matter was handled by the Department of Health and Human Services (HHS), Office of Counsel to the Inspector General (OCIG), and Assistant U.S. Attorney Tamara Haken of the Affirmative Civil Enforcement Unit of the U.S. Attorney’s Office for the Middle District of Pennsylvania.