PennState Health pays $1.2M for improper Medicare practices at Hershey Medical

07 March 2023- The United States Attorney’s Office for the Middle District of Pennsylvania announced that Penn State Health (PSH) has agreed to pay $1,252,662.28 to resolve allegations of civil liability for submitting claims to Medicare for Evaluation & Management (E&M) services that violated Medicare rules and regulations. 

According to the U.S. Attorney Gerard M. Karam, Penn State Health voluntarily disclosed that, between January 2015 and March 2019 for HMC, and between July 2015 and June 2018 for SJMC, PSH submitted claims to Medicare Part B for E&M services that were not supported by the medical record on the same date of service as infusion services. After it discovered the problems, PSH took prompt corrective action.

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.