Less than 1% of the net electronic health record incentive payments Medicare paid to acute-care hospitals between Jan. 1, 2013 and Sept. 30, 2017 did not meet federal requirements, according to a report released yesterday by the Department of Health and Human Services’ Office of Inspector General. OIG said the incorrect net payments occurred because Medicare administrative contractors did not review the supporting documentation for all hospitals, and the Centers for Medicare & Medicaid Services did not include labor and delivery services in the incentive payment calculations. OIG recommends that CMS recover the portion of the $1.3 million in incorrect net incentive payments that are within the recovery period and notify the hospitals associated with the remaining portion so they “can exercise reasonable diligence to investigate and return any identified similar incorrect payments.” CMS concurred with the recommendations, adding that recoupment should only be initiated against final payments. 

Related News Articles

Headline
The Medicare Payment Advisory Commission yesterday recommended that Congress require the Centers for Medicare & Medicaid Services to transition to a…
Headline
The U.S. Court of Appeals for the 9th Circuit yesterday stopped data analysis company Integra Med Analytics from proceeding with a False Claims Act lawsuit…
Headline
AHA yesterday urged the Medicare Payment Advisory Commission to reconsider certain proposed changes to Medicare payment for indirect medical education and…
Headline
Anticipating possible congressional action to extend the moratorium on the 2% sequester cut to all Medicare payments, the Centers for Medicare & Medicaid…
Headline
The Department of Health and Human Services through March 26 has reduced by more than 69% its backlog of Medicare appeals at the Administrative Law Judge level…
Headline
The AHA today voiced support for the Resident Physician Shortage Reduction Act of 2021 (S. 834), legislation that would add 14,000 Medicare-funded residency…