The OIG said the mistakes primarily came from inadequate oversight of overcharged observation time, charge mistakes and coding issues. The agency recommended that the healthcare facility repay $189,276 to its Medicare contractor and enhance billing procedures. Baylor Scott & & White-College Station stated it has or plans to execute more policies to address the concern.
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The OIG tested 100 outlier payments from an audit of 669 payments that amounted to $2.1 million. The agency found Baylor Scott & & White-College Station just appropriately billed for 18 of the 100 sampled payments. The staying included 174 billing mistakes that caused overpayments..
Morgan Haefner –
Friday, September 11th, 2020
Baylor Scott & & White-College Station (Texas) didnt correctly bill for supplemental outlier payments from Medicare, according to a Sept. 3 report from HHS Office of Inspector General.
Medicare outlier payments are designed to shelter hospitals from significant losses ought to patients require extraordinary care costs. The OIG reviewed outlier payments that CMS made to Baylor Scott & & White-College Station since the health centers outlier payments increased from $82,555 in 2015 to $2.6 million in 2016..
The OIG sampled 100 outlier payments from an audit of 669 payments that amounted to $2.1 million. The OIG said the errors primarily stemmed from insufficient oversight of overcharged observation time, charge errors and coding issues. The agency advised that the hospital repay $189,276 to its Medicare specialist and improve billing procedures.
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