tci Medicare Compliance & Reimbursement - 2009 Issue 8

COMPLIANCE: Texas Hospital Pays Up Over Inflated Outlier Charges

'The consultant told me to' is no defense. If you've increased your charges to potentially increase outlier reimbursement, you'd better have the documentation to stand behind your charges, because the DOJ is waiting to pounce. A Texas hospital recently agreed to pay $9.99 million to settle allegations that it improperly inflated charges for inpatient and outpatient care to obtain outlier payments from Medicare, according to a March 26 Dept. of Justice (DOJ) press release. This settlement is just the latest in a string of allegations that the DOJ has made regarding outlier payments. Last month, a New Jersey-based...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.