Submitting OIG:
Report Description:
Wesley Medical Center (the Hospital) (operating in Wichita, Kansas) complied with Medicare billing requirements for 208 of the 246 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 38 claims, resulting in overpayments of $182,000 for calendar years 2012 and 2013. Specifically, 27 inpatient claims had billing errors, resulting in overpayments of over $92,000, and 11 outpatient claims had billing errors, resulting in overpayments of over $89,000. These errors 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.
Date Issued:
Wednesday, May 18, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-15-05074
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Wesley Medical Center
Location(s):
KS
United StatesType of Report:
Audit
Questioned Costs:
$181,600
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
71505074.pdf | 1.68 MB |
Additional Details Link: