Corporate Compliance

Other issuances: OIG posts new compliance reviews, CMS issues press release on home health agency patient surveys, and more

Medicare Insider, April 24, 2012

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OIG issues Medicare compliance review of D.C. hospital

On April 16, the OIG issued a Medicare compliance review of Georgetown University Hospital for years 2009 and 2010. The review found that 134 of the 265 claims reviewed resulted in overpayments totaling $659,000.

View the OIG report.

OIG issues report on claim modifier –KX
 
On April 20, the OIG issued a report on the –KX modifier, which indicates that a claim meets Medicare coverage criteria and the supplier has the required documentation on file. The report found that the modifier not effective in ensuring that suppliers of DMEPOS that submitted Medicare claims had the required supporting documentation on file and the OIG estimates that contractors paid approximately $316.4 million to suppliers that did not have the required documentation on file to support the DMEPOS items with 2007 dates of service.

View the OIG report.

OIG issues Medicare compliance review of Florida hospital

On April 16, the OIG issued a Medicare compliance review of Bay Medical Center (Panama City, Fla.) for years 2009 and 2010. The review found that 48 of the 197 claims reviewed resulted in overpayments totaling $290,000.

View the OIG report.



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