The six claims that did not comply with Medicare billing requirements resulted in the hospital receiving $56,626 in overpayments. The OIG identified five outpatient claims and one inpatient claim with billing errors.
Based on its findings, the OIG recommended the hospital refund the Medicare contractor $56,626 in overpayments and strengthen its controls to ensure full compliance with Medicare requirements.
Billings Clinic Hospital agreed with the OIG’s findings.
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