Corporate Compliance

OIG audit finds Medicare overpaid St. Louis, Indianapolis hospitals

Compliance Monitor, May 23, 2012

Two hospitals received excess Medicare payments because they did not implement adequate controls to prevent billing errors, according to two OIG audits.

Barnes-Jewish Hospital in St. Louis received $725,000 in overpayments, according to an OIG audit.
 
The OIG reviewed 240 outpatient and inpatient claims and discovered 58 claims—24 outpatient and 34 inpatient—did not comply with Medicare billing requirements. The OIG recommended that the hospital refund the overpayments and strengthen its billing controls to ensure full compliance with Medicare requirements
 
Medicare overpaid Indiana University Health in Indianapolis by $280,000, according to the OIG audit.
 
The OIG discovered University Health did not follow Medicare billing requirements for 35 of the 198 claims it reviewed. The OIG found billing errors in 15 inpatient claims and 20 outpatient claims. The OIG recommended that the hospital refund the overpayments and strengthen its billing controls to ensure full compliance with Medicare requirements.

Most Popular