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Date Issued
Submitting OIG
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-09-22-03002
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
2
Questioned Costs
$382,032
Funds for Better Use
$0
Report updated under NDAA 5274
No
External Link
https://oig.hhs.gov/documents/audit/9957/A-09-22-03002.pdf

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
24-A-09-094.01 No $382,032 $0

We recommend that the Centers for Medicare & Medicaid Services direct the MACs to recover from hospitals the portion of the $382,032 in identified overpayments for the sampled claims during our audit period that are within the 4-year reopening period in accordance with CMS's policies and procedures.

24-A-09-094.02 No $0 $79,354,175

We recommend that the Centers for Medicare & Medicaid Services educate hospitals on correctly counting the hours of mechanical ventilation and submitting claims with correct procedure and diagnosis codes, which could have saved an estimated $79,354,175 for our audit period.

Department of Health & Human Services OIG

United States