Submitting OIG:
Report Description:
Houston Methodist Hospital (the Hospital) located in Houston, Texas, complied with Medicare billing requirements for 111 of the 159 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 48 claims, resulting in net overpayments of $609,000 for the audit period. Additionally, the Hospital did not fully comply with Medicare billing requirements for three of the five separate inpatient claims we reviewed, resulting in overpayments of $68,000. On the basis of our sample results, we estimated that the Hospital received approximately $1.3 million in overpayments from Medicare.
Date Issued:
Thursday, July 7, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-14-00074
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Houston Methodist Hospital
Location(s):
TX
United StatesType of Report:
Audit
Questioned Costs:
$598,853
Funds for Better Use:
$0
Number of Recommendations:
5
View Document:
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