tci Part B Insider - 2009 Issue 14

COMPLIANCE: Texas Hospital Pays Nearly $10 Million for Inflated Outlier Charges

The consultant told me to do it isnt a valid defense. If youve increased your charges to potentially increase outlier reimbursement,youd 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...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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