Wing Memorial Hospital Did Not Always Bill Correctly for Evaluation and Management Services Related to Diagnostic or Therapeutic Procedures and Supartz Injections
Download the complete report
Adobe® Acrobat® is required to read PDF files.
Wing Memorial Hospital (the Hospital) (operating in Massachusetts) complied with Medicare billing requirements for 47 of the 156 claims reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 109 claims, resulting in overpayments of approximately $104,000 for the period January 2, 2009, through March 2, 2012. Overpayments occurred primarily because the Hospital staff did not fully understand Medicare requirements for separately billable evaluation and management (E&M) services and did not have the necessary education to code the correct level of E&M service.
Copies can also be obtained by contacting the Office of Public Affairs at Public.Affairs@oig.hhs.gov.
Let's start by choosing a topic
Unimplemented OIG recommendations summarized.
FY 2013 Work Plan
OIG projects planned for 2013.
Significant OIG activities in 6-month increments.