Settlement Reached in Medicare Billing Audit
Temple University Physicians has reached a settlement with the Department of Health and Human Services regarding billing errors identified during a nationwide audit program initiated in 1996 called PATH (physicians at teaching hospitals). The government's allegations concern bills that were submitted to Medicare in 1995-96. The quality of care was never at issue, but rather whether the complex Medicare billing rules were followed.
Nationwide, 20 other institutions, including three in Philadelphia, have reached PATH audit settlements for varying amounts up to $35 million.
The settlement requires Temple University Physicians to pay $1.875 million. Temple officials denied any wrongdoing but, to avoid lengthy and costly litigation, decided to settle.
To ensure that Temple's billing is accurate, complete and correctly documented, a comprehensive and stringent compliance program for faculty and staff was instituted in 1996. The program has since expanded and continues to adjust to new regulatory and legal developments.
Read the U.S. Attorney's Office news release.