Federal Reports

The Centers for Disease Control and Prevention (CDC) did not award President's Emergency Plan for AIDS Relief (PEPFAR) funds for fiscal year 2013 in compliance with Department of Health and Human Services (HHS) and internal policies. For all 30 Funding Opportunity Announcements (FOAs) in our judgmental sample, CDC did not comply with 1 or more HHS or internal policies in some awards.

Huntsville Hospital (the Hospital) (operating in Huntsville, Alabama) complied with Medicare billing requirements for 178 of the 277 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 99 claims, resulting in net overpayments of $24,000 for the audit period. Specifically, 7 inpatient claims had billing errors, resulting in net overpayments of $18,000, and 92 outpatient claims had billing errors, resulting in overpayments of $6,000. These errors 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. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $203,000 for the audit period.

The University has created the KY College of Optometry and their inaugural class starts in August 2016. The new College will complement the University's existing medical school.

Sea View Health Care Services, Inc., (the Agency) (located in Charlotte Amalie, on the island of St. Thomas, U.S. Virgin Islands) did not comply with Medicare billing requirements for 95 of the 166 starts-of-care (122 of the 253 home health claims) reviewed. On the basis of our sample results, we estimated that the Agency received net overpayments of at least $184,000 for calendar years 2012 and 2013.