Medicare Overpayments: Mount Sinai Asked to Return $41.9 Million
Written by Editor   
Monday, May 29, 2017 10:05 PM
The federal government is getting serious about asking for refunds. It is claiming the Mount Sinai Hospital was overpaid $41.9 Million and now has 60 days to pay up.

The Office of Inspector General at HHS said that an audit of 2012 and 2013 claims revealed that Mount Sinai Hospital did not fully comply with Medicare billing requirements. 

The agency audited 261 claims and found that 110 resulted in overpayments totaling at least $41.9 million for the audit period.  Mount Sinai in New York City is required to do its own investigation of the problem going back six years, and refund the federal government all overpayments within 60 days of completing its audit, the OIG said.

The agency claims that during 2012 and 2013, Medicare paid Mount Sinai $842.4 million in both inpatient and outpatient claims. The errors amount to about 5% of all billing.

The OIG said that the hospital disagreed with the findings and recommendations. 


Source: http://www.modernhealthcare.com/article/20170503/NEWS/170509959