Review of Services Ordered by Chiropractors and Performed by Garfield Imaging Center

EXECUTIVE SUMMARY:

Our objective was to determine whether Garfield Imaging Center LTD (Garfield Imaging) billed Medicare for diagnostic services ordered by chiropractors.  Contrary to Federal regulations and Medicare guidelines, Garfield Imaging billed Medicare for diagnostic services ordered by chiropractors during calendar years 2001, 2002, and 2003.  As a result, Medicare overpaid Garfield Imaging $88,747. Garfield Imaging did not have adequate controls to prevent billing Medicare for diagnostic services ordered by chiropractors.  We recommended that Garfield Imaging refund to the Federal Government $88,747 in Medicare overpayments identified for calendar years 2001, 2002, and 2003 and strengthen controls to ensure that it does not bill Medicare for diagnostic services ordered by chiropractors.  Garfield Imaging agreed with our finding and recommendations.