Submitting OIG:
Report Description:
Cornerstone Hospital of Austin (the Hospital), in Austin, Texas, did not comply with Medicare requirements for billing Kwashiorkor on any of the 54 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor but should have billed for other forms of malnutrition. The 54 inpatient claims that were coded incorrectly resulted in overpayments of $358,000. The Hospital believed that all claims identified by OIG were appropriately submitted for payment.
Date Issued:
Wednesday, August 3, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-03-15-00009
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Cornerstone Hospital of Austin
Location(s):
TX
United StatesType of Report:
Audit
Questioned Costs:
$357,516
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
31500009.pdf | 1.17 MB |
Additional Details Link: