MGH overcharges Medicare

Written By Unknown on Sabtu, 03 Mei 2014 | 00.32

Massachusetts General Hospital overcharged Medicare by $1.18 million, according to a federal review of a sample of claims the hospital filed.

Of the 590 inpatient and outpatient claims the U.S. Department of Health and Human Services Office of Inspector General examined, 453, or 77 percent, did not fully comply with Medicare billing requirements, resulting in net overpayments of $1.18 million from 2009 to 2012, according to an April OIG report.

"Medicare waste ... is a huge concern for seniors and taxpayers in general," said Becky Reeves, a spokeswoman for the nonprofit American Coalition for Healthcare Claims Integrity. "We're trying to raise awareness about the extent of waste in the system."

In a statement last night, Sally Mason Boemer, MGH's senior vice president for finance, said: "MGH has submitted detailed plans of correction in those areas in which errors were found."

However, a hospital spokesman could not say whether MGH has repaid or made plans to repay Medicare for the over-charges.

OIG reports over the past three years have found similar patterns at other Boston-area hospitals. Brigham and Women's Hospital led with $1.51 million in overcharges, followed by St. Elizabeth's Medical Center with $1.2 million, Tufts Medical Center with $1.08 million, North Shore Hospital with $816,003, Boston Medical Center with $612,000 and South Shore Hospital with $341,033.


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