U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Skip to Content

Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Outpatient Psychiatric Services Provided by the Tomball Regional Hospital for Fiscal Year Ended June 30, 1998," (A-06-99-00014)

July 7, 2000

Complete Text of Report is available in PDF format (3.12 MB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This final audit report estimates, based on a statistical sample, that at least $1,098,553 in outpatient psychiatric services claimed by Tomball Regional Hospital did not meet Medicare reimbursement criteria. Specifically, charges for outpatient psychiatric services were not reasonable and necessary, or were provided to beneficiaries who were not eligible for such services. We noted an additional $219,114 for unallowable occupational therapy charges related to the above claims. Finally, we identified $45,059 in unallowable patient transportation costs, and were unable to determine the reasonableness of an additional $818,429 because the Hospital could not provide supporting documentation. In addition to financial adjustments, we recommended that the Hospital strengthen its procedures to ensure that charges for outpatient psychiatric services are covered and properly documented in accordance with Medicare requirements. We also recommended that the Hospital establish an effective procedure for excluding costs related to noncovered services from its Medicare cost reports.