Submitting OIG:
Report Description:
Medicare payments to New England providers were not always correct for nonphysician outpatient services provided within 3 days prior to the date of admission, on the date of admission, or during Inpatient Prospective Payment System stays. For 75 of the 129 services we sampled, Medicare paid providers twice, resulting in total overpayments of $288,000. Based on our sample results, we estimated that the Medicare contractor made approximately $1.3 million in overpayments to hospital outpatient providers during calendar years 2013 and 2014.
Date Issued:
Wednesday, June 28, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-01-15-00511
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
CT
United StatesType of Report:
Audit
Questioned Costs:
$1,287,655
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
Attachment | Size |
---|---|
11500511.pdf | 1.8 MB |
Additional Details Link: