Thomas Jefferson University To Pay $77,486 To Resolve Overbilling Allegations

PHILADELPHIA - Thomas Jefferson University and Jefferson University Physicians, Department of Emergency Medicine have agreed to a $77,486 settlement to resolve allegations arising from overbilling for services, announced United States Attorney Zane David Memeger.  The settlement arose as a result of a voluntary self-disclosure after Thomas Jefferson University’s Counsel for Compliance identified certain Medicare Part B professional fee billing anomalies during a routine internal compliance review.  Based upon this review, it appeared that certain professional fee services in the emergency room were billed under a physician’s National Provider Identification number when those services should have been billed under either the National Provider Identification number of the Physicians Assistants or Certified Registered Nurse Practitioners. 

Prior to the settlement, Thomas Jefferson University engaged a third-party firm to conduct a comprehensive billing audit and provided the results to the United States.  Thomas Jefferson University agreed that the billing was not accurate and thus, that the government paid more than it should have for the services provided.  Under the parties’ settlement agreement, signed today, Thomas Jefferson University and Jefferson University Physicians, Department of Emergency Medicine will pay $77,486.00 to the United States.  Thomas Jefferson University also conducted education in an effort to prevent any subsequent billing anomalies. 

This resolution was handled by Assistant U.S. Attorneys John T. Crutchlow and Veronica J. Finkelstein.

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UNITED STATES ATTORNEY'S OFFICE, EASTERN DISTRICTof PENNSYLVANIA
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