OIG: Hospice Provider Was Overpaid $140M; Lack of Policies Is Blamed

In possibly the largest overpayment finding ever in a Medicare provider compliance audit, the HHS Office of Inspector General (OIG) said Vitas Healthcare Corporation of Florida was overpaid $140 million.[1]

OIG audited a stratified random sample of 100 claims submitted between April 1, 2017, and March 31, 2019, with clinical documentation reviewed by an independent medical review contractor. The findings: 89 claims didn’t comply with Medicare requirements, OIG said. For 68 claims, the clinical record lacked support for the continuous home care (CHC) level of hospice care; 28 claims lacked support for general inpatient care (GIP) for hospice patients; and 23 claims for CHC weren’t documented or supported in the patient’s clinical record, according to the audit report.

This document is only available to subscribers. Please log in or purchase access.
 


Would you like to read this entire article?

If you already subscribe to this publication, just log in. If not, let us send you an email with a link that will allow you to read the entire article for free. Just complete the following form.

* required field