Multihospital healthcare system Penn State Health (PSH) agreed to pay more than $11.7 million to resolve self-disclosed violations of Medicare rules related to improper billing.

PSH resolved allegations of civil liability over claims submitted to Medicare for annual wellness visit (AWV) services, the U.S. Attorney’s Office for the Middle District of Pennsylvania announced in a press release Wednesday.

The case was handled by the Department of Health and Human Services’ Office of Counsel to the Inspector General (HHS OCIG), which announced the enforcement in a separate release.

In an emailed statement, a PSH spokesperson said a compliance office “discovered a discrepancy with regard to documentation requirements for Medicare [AWV]” and “voluntarily disclosed them” to the U.S. government.

“We have worked with the United States Attorney’s Office and [HHS OCIG] on a settlement and repayment of any reimbursements that did not fully meet Medicare documentation requirements,” the spokesperson said.