Hospitals received excess Medicare payments for GME

NEWS IN BRIEF — Posted Feb. 6, 2012

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Fifty hospitals in the Northeast overbilled Medicare for graduate medical education positions totaling $1.9 million from fiscal 2006 to 2007, says a January review of medical resident data by the Dept. of Health and Human Services' Office of Inspector General.

The 50 were among 66 hospitals that overstated full-time equivalent counts for residents on their Medicare cost reports, leading to some residents being claimed by more than one hospital for the same period, the report said (link).

To correct the problem, the OIG recommended that Highmark Medicare Services recover the $1.9 million, adjust the 2006-07 cost reports for hospitals that misreported their full-time equivalent counts and develop procedures to prevent future duplications. The OIG also advised the company to ascertain whether similar errors were made in later cost reports and recover any additional excess payments.

Highmark Medicare Services is the Part A Medicare contractor covering Delaware, the District of Columbia, Maryland, New Jersey and Pennsylvania, the report said.

Note: This item originally appeared at

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