Shore Health Settles Overcharge Lawsuit By Paying $9.5M

  • Shore Health Settles Overcharge Lawsuit By Paying $9.5M

University of Maryland Shore Regional Health has resolved the lawsuit of overcharging Maryland Medicaid and Medicare programs by paying $9.5 million to the federal and state government.

In June 2016, the lawsuit came up when the whistleblower brought forward claims that Shore Health purposely overcharged the healthcare programs for the services they provide to their beneficiaries.  As per the False Claims Act, private citizens can file lawsuits on the government's behalf for fraudulent payment claims under government programs.

Shore Regional Health provides medical healthcare services in its two hospitals situated in the Eastern Shore to patients covered under Medicare or Medicaid programs.

Trena Williamson, the representative from the University of Maryland Shore Regional Health, said in a statement after the settlement that they always commit to having their billing practice in compliance with state and federal requirements. Apart from the $9.5 million to the federal and state government, they have also borne charges for legal costs associated with the matter.

The original complaint accuses the healthcare body of improperly billing the Medicare program since June 2014 for outpatient services by using a provider transaction access number (PTAN) at unregulated facilities.

The Maryland Health Services Cost Review Commission (HSCRC) fixes the sum Medicare pays with the reimbursement rates for outpatient services at regulated facilities. The HSCRC does not decide the charges for services provided at unregulated healthcare centers.

The Maryland U.S. Attorney's Office and the State of Maryland came to the $9.5 million settlement with UM Shore Regional Health in June 2021, which UM Shore Regional Health deliberately paid. The healthcare system didn't concede obligation for the over-charging in the settlement.

We are social:

Accreditations

NSIC - CRISIL

NSIC-CRISIL has assigned a "SE 2A" rating to Neural IT, indicating a company with High Performanc...

ISO 27001 Certification

Neural IT is officially ISO 27001:2013 (ISO 27001) certified by Alcumus ISOQAR Limited as the Cer...

HIPAA

Neural IT has successfully implemented HIPAA for securing Health records....

Associations

NYSTLA

NYSTLA - "Neural IT is proud to be associated with NYSTLA (New York State Trial Lawyers Associati...

CAOC

CAOC - "Neural IT is proud to be associated with CAOC (Consumer Attorneys of California) as a Ven...

CAALA

CAALA - "Neural IT is proud to be associated with CAALA (Consumer Attorneys Association of Los An...

News & Events

Friends Of CAALA 2020
It is a treasured moment for Neural IT to be associated as an Affiliate Member for so many years and receive an…
sharing-smiles-sharing-happiness-on-national-smile-day-event-neural-it
Amidst the chaos of COVID-19 pandemic, we have something to cheer about as today is National Smile Day, and a smile is…
Happy Mother's Day from Neural IT
The cagey pandemic has halted our lives, but the only spirits that kept igniting during the crisis are the ones whom we…

Latest Tweets