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Universal Health Services Corporate Integrity Agreement

The resolution of these claims in the Eastern District of Pennsylvania is part of a comprehensive agreement between the Department of Justice and UHS, born of UHS billing practices in several health facilities in the United States. UHS will contribute a total of $117 million to the United States and participating states, In order to refute allegations that hospitals and institutions knowingly misread payment rights to Medicare, Medicaid, TRICARE, Department of Veterans Affairs and Federal Employee Health Benefit for hospital behavioural health services that were not appropriate or medically necessary and/or were unable to provide adequate and appropriate services to adults and licensed children in UHS facilities across the country. The DOJ announced that the transaction addressed allegations that UHS violated the ACF by “counting unnecessary hospital health services, failing to provide adequate and adequate services, and providing illegal incentives to public health beneficiaries.” Between January 2006 and December 2018, UHS facilities received patients who could not be hospitalized or hospitalized because their psychological conditions did not require this care, while they did not dismiss patients who no longer needed hospital care. In addition, services not provided by uhS charged for excessive lengths of stay were billed, did not provide adequate human resources, training and monitoring of staff, and physical and chemical restrictions and isolation did not end properly. UhS has not developed individual assessments and treatment plans for patients, discharge planning and group therapy services. UHS has entered into a five-year enterprise integrity agreement with the U.S. Department of Health and Health Services, Office of Inspector General. Under the CIA, the UHS must maintain an independent monitor selected by the OIG. In addition, an independent assessment organization (“IRO”) will conduct annual audits of UHS stationary behavioural health requirements for federal health programs. The company also agreed to a five-year Enterprise Integrity Agreement (CIA) overseen by a monitor selected by the Office of Inspector General (OIG). The monitor will regularly prepare evaluation reports at the IGO, while “an independent evaluation body will conduct annual audits of UHS`s stationary behaviour requirements for federal health programs,” the DOJ said.

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