Wing Memorial Hospital Did Not Always Bill Correctly for Evaluation and Management Services Related to Diagnostic or Therapeutic Procedures and Supartz Injections.

摘要

A prior Office of Inspector General review found that Wing Memorial Hospital (the Hospital) did not fully comply with Medicare billing requirements for selected outpatient claims for evaluation and management (E&M) services billed with diagnostic or therapeutic surgical procedures and E&M services billed with Supartz injections. Therefore, in collaboration with the Hospital, we selected additional claims of these types to review. The objective of this review was to determine whether the Hospital complied with Medicare requirements for E&M services billed with diagnostic or therapeutic surgical procedures and E&M services billed with Supartz injections.