Department of Health and Human Services

Office of Inspector General -- AUDIT

"Audit of Medicare Psychiatric Services Provided by Parkview Passages of Topeka During the Period July 1, 1996 Through June 30, 1997," (A-07-99-01279)

January 24, 2001


Complete Text of Report is available in PDF format (643 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 whether claims for psychiatric services provided by Parkview Passages of Topeka (Parkview), during the period July 1, 1996 through June 30, 1997 were billed and reimbursed in accordance with Medicare laws and regulations.  For psychiatric services provided during the period, Parkview submitted charges of $2,347,742.  Parkview was reimbursed a total of $486,615 for those services.  We found that 86 percent of the sampled claims did not meet Medicare PHP reimbursement requirements.  On this basis, our projected lower limit for disallowing charges is $1,851,519.  We will provide the results of our review to the Intermediary, so that the appropriate adjustment of $1,851,519 can be applied to Parkview's FY 1997 cost report.  We will also request that the Intermediary review PHP services provided by Parkview for other cost periods.  Parkview voluntarily canceled their participation in the Medicare program on January 1, 1999.