Pennsylvania’s Divine Providence: Billing Errors Due to Misunderstanding of Medicare Language

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Divine Providence Hospital in Williamsport, Pa., has agreed to pay the federal government $598,965 to resolve allegations of improper Medicare claims, according to a Williamsport Sun-Gazette report.

The payment will settle allegations that, from Jan. 2004-Dec. 2007, the hospital erroneously submitted Medicare payment claims that contained evaluation and management services not allowable under Medicare.

A spokesperson from Williamsport-based Susquehanna Health, the hospital’s parent company, attributed the errors to a “good-faith” interpretation of Medicare’s regulatory language, according to the report. An audit of the hospital’s records revealed the erroneous claims.

Read the Williamsport Sun-Gazette report on Divine Providence Hospital’s settlement.

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