Fines Imposed on Hospitals for Duplicate Biopsy Claims by HIO
December 4, 2025
The Health Insurance Organization (HIO) discovered that it was paying twice for the same biopsies, reimbursing both hospitals and laboratories conducting the tests. This led to fines being imposed on four hospitals found to have submitted incorrect claims. The HIO uncovered this double payment through an audit of the data in the GESY system. Additionally, a fifth hospital was also penalized for misclassifying outpatient services as inpatient. The HIO has initiated recovery of funds it had previously disbursed.