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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
Components
Centers for Medicare and Medicaid Services
Report Number
A-02-21-01006
Report Type
Audit
Location

NY,
United States

Number of Recommendations
4
Questioned Costs
$1,118,789
Funds for Better Use
$0
External Entity
Claudia Iordache, M.D. Psychiatry, P.C

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
22-A-02-047.01 No $1,118,789 $0

We recommend that the New York City provider refund to the Medicare program the estimated $1,118,789 overpayment.

22-A-02-047.02 No $0 $0

We recommend that the New York City provider based upon the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

22-A-02-047.03 No $0 $0

We recommend that the New York City provider develop policies and procedures to ensure that: o treatment plans contain all required elements, are maintained and are signed by the treating physician, o the performing therapists and supervising physicians comply with the requirements related to incident-to services, o psychotherapy services are conducted by therapists that meet Medicare qualification requirements, o time spent on psychotherapy services is documented, and o treatment notes are signed and maintained to support the services billed.

Department of Health & Human Services OIG

United States