Submitting OIG:
Report Description:
Providers incorrectly billed diagnosis code 260 for Kwashiorkor for inpatients who did not have the disease. We reviewed the medical records for 2,145 inpatient claims at 25 providers and found that all but 1 claim incorrectly included the diagnosis code for Kwashiorkor, resulting in overpayments in excess of $6 million.
Date Issued:
Tuesday, November 28, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-03-14-00010
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$102,000,000
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
31400010.pdf | 848.53 KB |
Additional Details Link: