© 2024 Northeast Indiana Public Radio
NPR News and diverse music.
Play Live Radio
Next Up:
0:00 0:00
Available On Air Stations
Underwriter Message

Parkview Health Network settles multi-million dollar Medicaid suit


Parkview Health Network is settling allegations that it overbilled Medicaid from January of 2017 to March of 2021.

Under the terms of the settlement, Parkview will pay back almost $3 million to Indiana Medicaid.

Court documents say Parkview billed Medicaid for services under the incorrect code which resulted in a “substantially higher reimbursement to Parkview for each claim.”

In a statement, Indiana Attorney General Todd Rokita says “All Medicaid providers have an obligation to ensure that they are seeking appropriate and justifiable payments from the Indiana Program.”

Parkview is denying the claims were false and denies any wrongdoing or fault in the matter. Court documents also say “this settlement is made in compromise of disputed claims and is neither an admission of liability by Parkview or a concession by the State of Indiana that the allegations were not well founded.”

Parkview now has 30 days to pay the amount specified in the settlement.

In a statement sent Tuesday evening, Parkview officials said they "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. Additionally, we have adjusted our billing practices to align with the State’s recommendation on how to code this service, as there continues to be no formal guidance from Medicaid. 

Tony Sandleben joined the WBOI News team in September of 2022.