Overview
- Justice Department filings say evidence raises questions about fraudulent billing at Children’s Hospital of Philadelphia and UPMC Children’s Hospital of Pittsburgh.
- Government contractors’ review of 2017–2024 insurance data found 250 CHOP patients age 10 or older diagnosed with central precocious puberty, including teens, a pattern DOJ says could signal misuse of codes.
- Subpoenas seeking private medical records were issued to roughly 20 hospitals nationwide as part of an investigation into potential Food, Drug and Cosmetic Act and healthcare fraud violations.
- CHOP challenged parts of the DOJ declaration after a referenced lawsuit could not be located and DOJ refiled without it, while UPMC says the filing offers no specific allegation of fraud against it and has already stopped treating patients under 19.
- A recent Boston ruling narrowed a DOJ subpoena to Boston Children’s Hospital, and parents and former patients in Pennsylvania are asking courts to shield their medical records.