Yale New Haven, Northeast Medical Group settle overbilling allegations

Yale New Haven (Conn.) Health and Northeast Medical Group in Bridgeport, Conn. — a physician and associated provider group affiliated with the health system — agreed to pay $560,718 to resolve allegations they overbilled Medicare and the state of Connecticut. 

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Yale New Haven and Northeast Medical Group allegedly falsely billed Medicare and Medicaid for services purportedly provided at Bridgeport (Conn.) Hospital by physicians and advanced practice providers, according to a May 9 news release from the Connecticut attorney general’s office. The services, however, were actually performed by advanced practice providers alone; those services are reimbursed at a lower rate.  

The allegations were brought forth via a whistleblower complaint and were followed up by a joint state and federal investigation, according to the release.  

Medicare’s share of the settlement is $110,042, according to the release. The whistleblower will receive $106,536 of the settlement. 

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