Parkview Health in Fort Wayne has settled a nearly $3 million lawsuit with the state over alleged Medicaid overbilling, an allegation the healthcare system denies. Attorney General Todd Rokita’s office says Parkview submitted improper medical codes for certain blood-clotting tests during a four-year period.
“This difference in revenue code selection resulted in substantially higher reimbursement to Parkview for each claim submitted for each such Medicaid managed care beneficiary,” according to the settlement statement.
Parkview says the medical claims are related to a complex area of Medicaid billing and denies it knowingly engaged in wrongdoing.
“Parkview believed that we were using the correct billing code, but we agreed to resolve the matter in good faith with the Attorney General’s Office to avoid the uncertainty of ongoing litigation with the State,” a Parkview Health spokesperson said our partners at WPTA-TV.
The health system says it has adjusted its billing practices to align with the state’s recommendation as part of the settlement.
The settlement calls for Parkview to pay $1.3 million in restitution and $1.5 million in additional recoveries.