Cedars-Sinai overbilled Medicare for bariatric surgeries, inspector general says

Cedars-Sinani must repay Medicare $154,074 in overpayments and update its billing treatments to remedy the problem, the auditors stated. The medical center concurred with many of the auditors suggestions.

The auditors found Cedars-Sinai didnt adhere to all of the billing requirements in 25 of the 62 claims examined. The inspector general and an independent medical evaluation professional found info in clients medical records didnt support eligibility requirements for bariatric surgical treatment.

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The audit, which was carried out from February 2018 through July of this year, evaluated the $1.3 million Cedars-Sinai gotten in Medicare payments for 62 bariatric surgery declares from 2015-16. They paired the claims with patients medical records to identify if they matched billing requirements for Medicare and Cedars-Sinais Medicare declares administrator Noridian Healthcare Solutions..

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Morgan Haefner –
Monday, October 19th, 2020
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Patients with morbid obesity may receive bariatric surgery to assist them lose weight by making modifications to their digestion system..

Read the full report here.

Cedars-Sinai Medical Center in Los Angeles sent inaccurate claims for bariatric surgical treatment, leading to overpayments from January 2015 to December 2016, according to HHS Office of Inspector General..