Submitting OIG:
Report Description:
Lafayette General Medical Center (the Hospital) (operating in Louisiana) complied with Medicare billing requirements for 34 of the 103 inpatient claims and all 31 outpatient claims. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 69 inpatient claims. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $4.4 million for claims paid during 2013 and 2014.
Date Issued:
Wednesday, April 27, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-15-00022
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Lafayette General Medical Center
Location(s):
LA
United StatesType of Report:
Audit
Questioned Costs:
$4,413,989
Funds for Better Use:
$0
Number of Recommendations:
3
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Additional Details Link: