Submitting OIG:
Report Description:
Abbott Northwestern Hospital (the Hospital) complied with Medicare billing requirements for 88 of the 162 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 74 claims, resulting in overpayments of $934,000 for 2013 and 2014 (audit period). On the basis of our sample results, we estimated that the Hospital received overpayments of at least $8 million for the audit period. Overpayments 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:
Thursday, December 15, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-05-15-00043
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Abbott Northwestern Hospital
Location(s):
MN
United StatesType of Report:
Audit
Questioned Costs:
$8,038,356
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
51500043.pdf | 3.59 MB |
Additional Details Link: