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Steward Holy Family Hospital Agreed to Pay $6.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatry Services Without Proper Certifications and Treatment Plans

After it self-disclosed conduct to OIG, Steward Holy Family Hospital, Inc. (Steward), Massachusetts, agreed to pay $6,952,847 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Steward failed to maintain physician certifications, recertifications, and treatment plans for inpatient psychiatry services in violation of Medicare billing requirements. Steward retained a third-party contractor who was responsible for managing Steward’s inpatient psychiatric unit including maintaining proper medical records for the patients in the unit.

Action Details

  • Date:October 13, 2020
  • Enforcement Types:
    • Fraud Self-Disclosures