Skip to main content
Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-05-14-00048
Report Description

Hennepin County Medical Center (the Hospital) complied with Medicare billing requirements for 134 of the 211 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 77 claims, resulting in overpayments of $537,000 for CYs 2012 and 2013 (audit period). On the basis of our sample results, we estimated that the Hospital received overpayments totaling at least $1.6 million for the audit period. Overpayments occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.

Report Type
Audit
Location

MN
United States

Number of Recommendations
2
Questioned Costs
$1,664,961
Funds for Better Use
$0
External Entity
Hennepin County Medical Center

Department of Health & Human Services OIG

United States