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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition
Nutritional Marasmus and other/unspecified severe protein-calorie malnutrition are two types of severe malnutrition listed in the International Classification of Diseases, Clinical Modification. Previous OIG reviews have determined that hospitals incorrectly billed for Kwashiorkor, a third type of severe malnutrition. Nutritional Marasmus and other/unspecified severe protein-calorie malnutrition are each classified as a type of major complication or comorbidity (MCC). Adding MCCs to a Medicare claim can result in a higher Medicare payment.
The OIG investigated allegations that a National Park Service (NPS) superintendent mismanaged donated funds by depositing them into his personal checking account.We found that the superintendent violated Federal law and NPS policy when he deposited $500 donated yearly to the park into his personal checking account as a means to manage the funds. At the time of the deposits, the superintendent was not aware that he was prohibited from doing so. We did not find any evidence that the superintendent misused any of the donated funds.
