The 18 claims that did not comply with Medicare billing requirements resulted in the hospital receiving $118,576 in overpayments, according to the OIG.
Based on its findings, the OIG recommended the hospital refund the Medicare contractor $39,448 in overpayments for three incorrectly billed inpatient claims and work with the Medicare contractor to return $79,128 in net overpayments that were outside the three-year recovery period. The OIG also recommended the hospital strengthen controls to ensure full compliance with Medicare requirements.
Dallas-based Tenet Healthcare, which owned the hospital during the audit period, agreed with the OIG’s findings.
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