A health system is forking over more than $18 million for bogus home health and hospice claims, the Department of Justice says in a release. Geisinger Community Health Services in Pennsylvania has agreed to pay $18.5 million “to resolve allegations of civil liability for submitting claims to Medicare for hospice and home health services that violated Medicare rules and regulations. GCHS voluntarily disclosed the violations,” the DOJ says.
Between January 2012 and December 2017, GCHS entity claims “violated Medicare rules and regulations regarding physician certifications of terminal illness, patient elections of hospice care, and physician face-to-face encounters with home health patients,” the DOJ reveals.