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Stony Brook University Hospital Agreed to Pay $3.2 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatric Services without Timely Re-Certification

After it self-disclosed conduct to OIG, Stony Brook University Hospital (Stony Brook), New York, agreed to pay $3,219,483.45 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Stony Brook failed to timely obtain re-certification statements for inpatient psychiatric services furnished to Medicare Part A beneficiaries with stays of more than 11 days, which resulted in more reimbursement from Medicare than would otherwise have been paid. OIG also contends that Stony Brook failed to properly code daily activities in its New York Medicaid-qualified Continuing Day Treatment Program, which resulted in improper Medicare Part B reimbursement for non-covered services to dual-eligible beneficiaries.

Action Details

  • Date:September 8, 2016
  • Enforcement Types:
    • Fraud Self-Disclosures