UPenn Health Care Group Accused Of Overbilling State $9M

Law360 (May 23, 2018, 6:19 PM EDT) -- A network of Pennsylvania hospitals has filed a proposed class action accusing a hospital affiliated with the University of Pennsylvania of hogging $9 million in a general fund set up by the state to pay for care for low-income residents by knowingly submitting bogus claims, lowering the reimbursements available for other facilities.

According to a complaint filed on Tuesday by St. Luke's Health Network, 75 percent of the claims that Lancaster General Hospital submitted to the Extraordinary Expense, or EE, Program from 2010 to 2012 were overblown or invalid, netting it an unearned $9 million and decreasing the payouts to other...

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