tci Medicare Compliance & Reimbursement - 2003 Issue 8

Hospitals: JOHNS HOPKINS CAPS OFF PATH PROBE

Johns Hopkins University emerged from a long-running physicians-at-teaching-hospitals audit relatively unscathed February 14, capping off a federal inquiry by agreeing to pay an $800,000 settlement. That’s a relative pittance when compared to some of the other settlements that have arisen from the notorious PATH initiative, which in some cases have exceeded $10 million per institution. PATH audits are designed to verify academic medical centers’ compliance with Medicare rules governing services provided by teaching physicians and residents or interns. As with other PATH settlements, in the Johns Hopkins case the government maintained that JHU submitted claims for certain...

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