Payments that the Medicare contractors for Jurisdiction E (which covers California, Hawaii, Nevada, and three Pacific territories) made to hospitals for 191 inpatient and outpatient claims for replaced cardiac medical devices did not comply with Medicare requirements for reporting manufacturer credits. The hospitals' incorrect billing of these claims resulted in overpayments of $2.1 million that the hospitals had not identified, refunded, or adjusted by the beginning of our audit. The Medicare contractors overpaid the hospitals because they had no specific controls to ensure that hospitals complied with Medicare requirements for reporting manufacturer credits.
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Health & Human Services | The Medicare Contractors for Jurisdiction E Overpaid Claims for Replaced Cardiac Medical Devices When Hospitals Had Not Reported Manufacturer Credits | Audit |
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U.S. Agency for International Development | Audit of Select Activities from the USAID/Food for Peace Response to the Ebola Crisis in West Africa | Audit |
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Export-Import Bank | Independent Auditor's Report on the Export Import Bank's Short-Term Insurance Claims Processing | Audit |
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U.S. Agency for International Development | OIG 2015 FAIR Act Inventory (Federal Activities Inventory Reform Act) | Other | Agency-Wide | View Report | |
Department of Defense | U.S. Army Military Surface Deployment and Distribution Command Needs to Improve its Oversight of Labor Detention Charges at Military Ocean Terminal Sunny Point | Audit | Agency-Wide | View Report | |
Social Security Administration | Congressional Response Report: The Social Security Administration’s Vision 2025 Plan | Audit | Agency-Wide | View Report | |
Department of Homeland Security | Analysis of Recurring Audit Recommendations Could Improve FEMA's Oversight of HSGP | Audit | Agency-Wide | View Report | |
Department of Veterans Affairs | VA’s Federal Information Security Modernization Act Audit for Fiscal Year 2015 | Audit |
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Department of Housing and Urban Development | Testimony - HUD Oversight and Management Issues - 2016 | Other | Agency-Wide | View Report | |
Social Security Administration | Children And Families Of Iowa, A Fee-For-Service Representative Payee For The Social Security Administration | Audit | Agency-Wide | View Report | |