Medicare paid 10 of 143 selected inpatient claims for bone marrow and stem cell transplant procedures in accordance with Medicare requirements. However, 133 claims did not comply with those requirements. For 120 of these claims, the hospitals incorrectly billed Medicare Part A for beneficiary stays that should have been billed as outpatient or outpatient with observation services. These claims did not have clinical evidence supporting that an inpatient level of care was required before, during, or after the transplant procedures were performed. For the remaining 13 claims, the hospitals billed incorrect Medicare Severity Diagnosis-Related Groups (MS DRGs). As a result of the 133 errors, Medicare overpaid the hospitals by $6.3 million. Medicare overpaid the hospitals because existing controls were not effective in preventing the overpayments.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Medicare Did Not Pay Selected Inpatient Claims for Bone Marrow and Stem Cell Transplant Procedures in Accordance With Medicare Requirements | Audit | Agency-Wide | View Report | |
| Office of Personnel Management | Resignation Letter of Inspector General Patrick E. McFarland | Other | Agency-Wide | View Report | |
| Department of Energy | Corrective Action Program at the Waste Treatment and Immobilization Plant | Audit |
|
View Report | |
| Department of Justice | Reviews of the Department’s Annual Accounting of Drug Control Funds and Related Performance, Fiscal Year 2015 | Audit | Agency-Wide | View Report | |
| Amtrak (National Railroad Passenger Corporation) | Asset Management: Additional Actions Can Help Reduce Significant Risks Associated with Long-Distance Passenger Car Procurement | Audit | Agency-Wide | View Report | |
| Department of Housing and Urban Development | The Reno-Sparks Indian Colony, Reno, NV | Audit |
|
View Report | |
| U.S. Agency for International Development | Management Letter: Control Deficiencies Identified During the Office of Inspector General's Audit of USAID's Financial Statements for Fiscal Years 2015 and 2014 | Other | Agency-Wide | View Report | |
| Department of Homeland Security | TSA's Human Capital Services Contract Terms and Oversight Need Strengthening | Audit | Agency-Wide | View Report | |
| Department of Homeland Security | CBP's Special Operations Group Program Cost and Effectiveness are Unknown | Audit | Agency-Wide | View Report | |
| Department of the Interior, National Science Foundation | Follow-Up Review of Cost Associated with NSF’s Use of Executive Level Intergovernmental Personnel Act Assignees | Review |
|
View Report | |
