Department of Health and Human Services

"Review of Medicaid and Medicare Credit Balances at Meriter Hospital, Madison, Wisconsin," (A-05-01-00069)

July 30, 2002


Complete Text of Report is available in PDF format (468 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


EXECUTIVE SUMMARY:

The objective of this review was to determine if Medicaid and Medicare credit balances recorded on Meriter Hospitalís accounting records represent overpayments that should have been reported to those programs.  A credit balance occurs when reimbursement for services exceeds the charges billed according to the providerís accounting records.  We found Medicaid overpayments totaling $205,679 and Medicare overpayments totaling $766 were not reported in a timely manner.  Therefore, we recommended Meriter ensure that the federal share of the overpayments are recovered by the respective programs.  We attribute the untimely identification and reporting of credit balances to provider personnel not being aware of the Medicaid and Medicare reporting requirement and provider policies and procedures not being in accordance with federal and state credit balance reporting requirements.