Review of Medicare Outpatient Billing for Selected Drugs at Bates County Memorial Hospital

摘要

Bates County Memorial Hospital (Bates) is an acute-care hospital located in Butler, Missouri. Based on data analysis, we reviewed $61,823 in Medicare payments to Bates for seven line items for injections of selected drugs that Bates billed to Medicare during our audit period (January 1, 2008, through April 30, 2011). These line items consisted of injections for doxorubicin hydrochloride liposome and rituximab. Our objective was to determine whether Bates billed Medicare for injections of selected drugs in accordance with Federal requirements.