News Briefs: July 19, 2021

In a new provider compliance audit,[1] the HHS Office of Inspector General (OIG) said Lake Hospital System in Concord, Ohio, was overpaid about $862,000 in 2017 and 2018. OIG audited a stratified random sample of 100 claims and found errors on 51 of them. “On the basis of our sample results, we estimated that the Hospital received overpayments of at least $4,385,974 for the audit period,” OIG said. In large part, the OIG contends, “the hospital incorrectly billed Medicare Part A for beneficiary stays that did not meet Medicare criteria for acute inpatient rehabilitation.” The hospital disagreed with most of OIG’s findings. In a written response, the hospital said OIG’s independent medical reviewer “subjectively or inaccurately” applies Medicare’s inpatient rehabilitation facility coverage criteria to its services.

This document is only available to subscribers. Please log in or purchase access.
 


Would you like to read this entire article?

If you already subscribe to this publication, just log in. If not, let us send you an email with a link that will allow you to read the entire article for free. Just complete the following form.

* required field