Pennsylvania Hospital Agrees to Pay $325,000 to Settle Medicare Overbilling Allegations: Inpatient Codes Used for Outpatient Procedures

George F. Indest III HeadshotBy George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On August 8, 2016, a Pennsylvania hospital accused of overbilling Medicare agreed to settle civil claims with the federal government for $325,000, the U.S. Attorney’s office in Philadelphia announced. The case arose out of allegations that the hospital used inpatient diagnosis codes for routine outpatient procedures.

Northampton Hospital Co. LLC (Northampton), which operates Easton Hospital, has agreed to resolve allegations of improper Medicare billing for inpatient procedures performed at the health care facility from January 1, 2008, through June 27, 2014, the U.S. Department of Justice (DOJ) said in a press release. Click here to read the press release in full.

Overbilling Medicare.

Northampton provides inpatient and outpatient health care services in Easton, Pennsylvania. The hospital’s services include […]