ASC overpayments found through NY audits
Healthcare Auditing Weekly, December 11, 2007
Audits released by the office of New York State show that New York's four largest ambulatory surgery centers supposedly waived out-of-pocket fees for members of the government-employee health plan. They also covered $8 million in other costs by sending inflated costs to UnitedHealthcare, the state's insurance administrator.
- Endoscopy Center of Long Island, Garden City, was overpaid $2.7 million
- Capital Region Ambulatory (orthopedic) Surgery Center, Albany, was overpaid $2.4 million
- Digestive Health Center of Huntington was overpaid $1.5 million
- Day-Op Center of Long Island, Mineola, was overpaid $1.4 million
UnitedHealthcare said it would work with the state to recover the money, and that it would take further measures to ensure that no other providers were involved in the same situation.
To read more click here
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- Running an effective peer review committee meeting
- HealthDataInsights posts new issues for medical necessity claims
- Sneak Peek: Effort underway to establish caseload benchmarks
- New FAQ posted on storing laryngoscope blades
- Q/A: Coding for telescopic intraocular lens
- Tip: Perform your own internal investigation prior to government audit
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- HHS task force: Consider privacy, security with text messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Coding for telescopic intraocular lens
- Q/A: Correct use of modifier -PT
- Tip: Correctly code bilateral pain management procedures
- "Wall fountains" may be spreading Legionnaires to patients, visitors
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- Searched