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Audit (A-05-08-00045)

10-22-2008
Review of Medicaid Inpatient Hospital Transfer Payments in Michigan for October 1, 2003, through September 30, 2006

Executive Summary

The State agency did not properly pay inpatient hospital claims and claim Federal reimbursement for beneficiaries transferring from one hospital to another on the same day in accordance with the Centers for Medicare and Medicaid Services-approved State plan. Specifically, the State agency made overpayments totaling $215,000 ($121,000 Federal share) to 28 hospitals for 36 of 57 inpatient hospital claims reviewed.

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201