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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Inpatient Hemodialysis Procedure Services Provided by Nephrology Associates Medical Group, Inc.," (A-09-01-00080)

November 14, 2001

Complete Text of Report is available in PDF format (681 KB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This audit report presents the results of our review of inpatient hemodialysis procedure services provided to Medicare beneficiaries by Nephrology Associates Medical Group, Inc. (Group) in Calendar Years 1998 and 1999.  Based on a review of a statistical sample of Medicare claims, we are 95 percent confident that the Group received a total overpayment of at least $100,788.  We recommended that the Group refund the overpayment to the Medicare program.  We also recommended that the Group develop policies and procedures to ensure that the Medicare requirements for billing hemodialysis procedure services were met before billing Medicare for such services.