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Audit (A-01-11-00507)

05-09-2011
Verification of Central Vermont Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2007-2010

Executive Summary

We determined that the Hospital submitted 17,728 claims with overpayments totaling approximately $237,000 for physician services for CYs 2007 through 2010. The Hospital, billing on behalf of its physicians, incorrectly coded these claims by using nonfacility place-of-service codes for services that were performed in one of the Hospital's outpatient facilities.

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Exclusions Database Report Fraud

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