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Audit (A-01-12-00531)

06-21-2013
Meritus Medical Center Refunded Overpayments for Physician Claims With Place-of-Service Coding Errors For 2009 Through 2012

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Summary

We verified that Meritus Medical Center (the Hospital) (operating in Maryland) submitted 17,000 claims with overpayments of $568,000 for physician services for calendar years 2009 through 2012. The Hospital, billing on behalf of its wound care facility physicians, incorrectly coded these claims by using nonfacility place-of-service codes for services that were actually performed in the Hospital's wound care center. The Hospital refunded the overpayments.

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