UPI en Español  |   UPI Asia  |   About UPI  |   My Account
Search:
Go

Report: Medicare overcharged $1.5 billion

|
 
Published: Nov. 13, 2012 at 12:45 PM

WASHINGTON, Nov. 13 (UPI) -- About 25 percent of charges from nursing homes are wrong, and the overcharges add $1.5 billion a year to Medicare costs, says a federal report released Tuesday.

The majority of the overcharges involve claims from facilities that provide specialized care for more intensive services than actually were provided, The Wall Street Journal reported.

In other cases, the skilled nursing homes charged for treatments that were inappropriate, said the report by the inspector general of the Health and Human Services Department.

The report cited documents showing Medicare was billed for work such as speech therapy and occupational therapy for patients who couldn't benefit from it.

The HHS inspector general has been studying Medicare billings for several years to rein in costs. The federal government paid $32.2 billion to 15,000 skilled nursing facilities during the 2012 fiscal year.

The report was based on an audit of billings from 2009.

Changes recommended by the report include changing the methods used by the government to determine how much therapy is needed, increasing and expanding review of claims from nursing homes and strengthening the monitoring of facilities found to have billed for inappropriate expenses.

The American Health Care Association, a nursing home trade group, reserved comment on the report "pending review of the document," spokesman Greg Crist said.

Recommended Stories
© 2012 United Press International, Inc. All Rights Reserved. Any reproduction, republication, redistribution and/or modification of any UPI content is expressly prohibited without UPI's prior written consent.

Order reprints
Join the conversation
Most Popular Collections
'Star Trek Into Darkness' screening NBC upfronts Met Ball 2013
'Great Gatsby' premieres in New York Spire raised on top of One WTC 2013: Celebrity break ups and divorces
Additional U.S. News Stories
1 of 17
Tornado recover efforts underway in Moore, Oklahoma
View Caption
Oklahoma Governor Mary Fallin talks to victims from the May 20 tornado that hit Moore, Oklahoma, May 22, 2013. The EF-5 tornado cut a path of destruction approximately 17 miles by 1.3 miles wide and left 24 people dead. UPI/J.P. Wilson
fark
Jodi Arias likes her juries just like her men: Hung
Polite young men who wear neckerchiefs, colorful badges and khaki shorts in public are now allowed...
Women outraged by sexist new Samsung commercial. And by women, I mean men
Another day, another real-life case of Breaking Bad. Except all these guys keep getting caught
I guess the Brits have a hard time understanding screen doors, brushing teeth
It turns out many of the US cities where the most internet porn is watched are also classified as...