HHS' Office of the Inspector General has informed University of Cincinnati Medical Center it must refund the government more than $9.8 million after a federal audit found the medical center overbilled Medicare between 2010 and 2011.
The OIG audited 228 sample claims submitted to Medicare by UC Medical Center from 2010 to 2011. The audit revealed the medical center failed to follow billing requirements for 127 of the audited claims. The failure to follow the requirements resulted in Medicare being incorrectly billed and the medical center receiving $603,267 in overpayments from 2010 to 2011.
Based on the sample of claims audited, the OIG projected UC Medical Center overbilled Medicare for more than $9.8 million from 2010 to 2011.
UC Medical Center disagrees with the OIG's findings, and has asked for a review of the audit results. The hospital acknowledges billing errors occurred, but believes the OIG incorrect "extrapolated" the finding across the more than 114,000 Medicare claims, according to a Cincinnati Enquirer report.
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