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OIG tags Carolinas Medical Center for incorrect billing

Carolinas Medical Center in Charlotte, N.C., failed to comply with Medicare billing requirements for 83 of 240 inpatient claims reviewed by HHS’ Office of Inspector General, according to a recent OIG report. The 83 claims that did not comply with Medicare billing requirements resulted in the hospital receiving $331,831 in combined overpayments during 2014 and 2015, according to the OIG. Extrapolating from the sample results, the OIG estimated Carolinas Medical Center received $1.7 million in overpayments from Medicare during the audit […]

December OIG Reports: North Mississippi Medical Center and University of Mississippi Medical Center Overbilled Medicare By $476,000 Total

FOR IMMEDIATE RELEASE January 3, 2017       CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995   December OIG Reports: North Mississippi Medical Center and University of Mississippi Medical Center Overbilled Medicare By $476,000 Total  Washington, D.C. – A report in late 2016 by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that North Mississippi Medical Center in Tupelo, Miss., and University of Mississippi Medical Center in Jackson, Miss., overbilled Medicare $476,131 from 2013 to 2014.  […]

Daily Comet: Louisiana leads the nation in Medicare overbilling

Louisiana leads the nation in Medicare overbilling By Ted Griggs The Advocate (Baton Rouge) Published: Saturday, April 16, 2016 at 11:48 a.m. Last Modified: Saturday, April 16, 2016 at 11:48 a.m. BATON ROUGE — Louisiana posted the highest rate of Medicare being overbilled for services in the nation in 2015, with providers charging an estimated $1.25 billion more than they should have, according to a federal report. In Louisiana, Medicare bills were too high an estimated 19.4 percent of the […]

Health Leaders Media: Federal audit seeks $3.2 million refund from U. of Minnesota Medical Center

Federal audit seeks $3.2 million refund from U. of Minnesota Medical Center Star Tribune, February 4, 2016 Federal auditors said the University of Minnesota Medical Center should refund more than $3.2 million in estimated overpayments for services they said were incorrectly billed to the Medicare program, according to a report being released Wednesday. Auditors reviewed 225 claims for payments in 2012 and 2013 and found the hospital did not fully comply with Medicare billing requirements in 130 cases, said the […]

MinnPost: Might want to triple-check those Medicare billings in the future

Might want to triple-check those Medicare billings in the future The Star Tribune’s Christopher Snowbeck reports: “Federal auditors said the University of Minnesota Medical Center should refund more than $3.2 million in estimated overpayments for services they said were incorrectly billed to the Medicare program, according to a report being released Wednesday. … Auditors reviewed 225 claims for payments in 2012 and 2013 and found the hospital did not fully comply with Medicare billing requirements in 130 cases, said the report from the […]

USA Today: New federal rule targets medical equipment often subject to fraud

New federal rule targets medical equipment often subject to fraud Laura Ungar, USA TODAY December 29, 2015 A federal rule issued Tuesday requires prior authorization before Medicare will pay for certain wheelchairs, prosthetics, orthotics and other medical equipment — sources of Medicare fraud and improper payments for years. The rule could save Medicare $10 million the first year, $200 million in five years and $580 million over a decade, says Aaron Albright, spokesman for the U.S. Centers for Medicare and Medicaid Services. He […]