Submitting OIG:
Report Description:
Our audit covered 6,864 claims for which NW Hospice (located in Tigard, Oregon) received Medicare reimbursement of $31.5 million for hospice services provided from June 1, 2016, through May 31, 2018. We reviewed a random sample of 100 claims. We evaluated compliance with selected Medicare billing requirements and submitted these sampled claims and the associated medical records to an independent medical review contractor to determine whether the services met coverage, medical necessity, and coding requirements.
Date Issued:
Wednesday, June 23, 2021
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-20-03035
Component, if applicable:
Centers for Medicare & Medicaid Services
Type of Report:
Audit
Questioned Costs:
$3,902,337
Funds for Better Use:
$0
Number of Recommendations:
3