Verification of Central Vermont Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2007-2010.
(12/04/2013)
Medicare Part B pays for services physicians provide to program beneficiaries. Although physicians routinely perform many of these services in hospital outpatient departments or freestanding ambulatory surgical centers (ASC), physicians also perform some services in nonfacility settings such as physician offices, urgent care centers, or independent clinics. To account for the increased overhead expense that physicians incur by performing services in nonfacility locations, Medicare reimburses physicians at a higher rate for certain services performed in these locations. However, when physicians perform these same services in facility settings Medicare reimburses the overhead expenses to the facilities and physicians receive a lower...
Tác giả: NTIS |
Số trang: 15 |
Lĩnh vực: Y học lâm sàng |
Năm XB: 2011 |
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Tiêu đề | Tải về |
Verification of Central Vermont Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2007-2010. | Số trang: 15
| Loại file:
Medicare Part B pays for services physicians provide to program beneficiaries. Although physicians routinely perform many of these services in hospital outpatient departments or freestanding ambulatory surgical centers (ASC), physicians also perform some services in nonfacility settings such as physician offices, urgent care centers, or independent clinics. To account for the increased overhead expense that physicians incur by performing services in nonfacility locations, Medicare reimburses physicians at a higher rate for certain services performed in these locations. However, when physicians perform these same services in facility settings Medicare reimburses the overhead expenses to the facilities and physicians receive a lower reimbursement rate. The objective of our audit was to determine the amount of overpayments for claims with place-of-service coding errors submitted by the Hospital to its Medicare contractor for calendar years (CYs) 2007 through 2010.
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