Clinton Hospital Agreed to Pay $2.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Submitted without Proper Documentation
After it self-disclosed conduct to OIG, UMass Memorial Health Alliance - Clinton Hospital, Inc. (UMass HA-Clinton), Massachusetts, agreed to pay $2,331,641.67 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that UMass HA-Clinton admitted Medicare beneficiaries and submitted claims for payment without properly documenting that an impatient psychiatric hospitalization was a reasonable and medically necessary treatment for the patient's condition. OIG also alleged that the medical records did not consistently contain the appropriate documentation to satisfy Medicare requirements for continued treatment.
- Date:December 18, 2018
- Fraud Self-Disclosures