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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-06-14-00074
Report Description

Houston Methodist Hospital (the Hospital) located in Houston, Texas, complied with Medicare billing requirements for 111 of the 159 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 48 claims, resulting in net overpayments of $609,000 for the audit period. Additionally, the Hospital did not fully comply with Medicare billing requirements for three of the five separate inpatient claims we reviewed, resulting in overpayments of $68,000. On the basis of our sample results, we estimated that the Hospital received approximately $1.3 million in overpayments from Medicare.

Report Type
Audit
Location

TX
United States

Number of Recommendations
5
Questioned Costs
$598,853
Funds for Better Use
$0
External Entity
Houston Methodist Hospital

Department of Health & Human Services OIG

United States