Submitting OIG:
Report Description:
Cornerstone Hospital of Bossier City (The Hospital), in Bossier City, Louisiana, did not comply with Medicare requirements for billing Kwashiorkor on any of the 73 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor but should have billed for other forms of malnutrition. For 25 of the inpatient claims, substituting a more appropriate diagnosis code produced no change in the diagnosis-related group or payment amount. However, for the remaining 48 inpatient claims, the errors resulted in overpayments of $322,000. The Hospital believes that all claims identified by the Office of Inspector General were appropriately submitted for payment.
Date Issued:
Wednesday, March 30, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-03-15-00006
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Cornerstone Hospital of Bossier City
Location(s):
LA
United StatesType of Report:
Audit
Questioned Costs:
$321,971
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
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31500006.pdf | 288.15 KB |
Additional Details Link: