[{"innerBlocks":[],"name":"core\/freeform","postId":189,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"The Centers for Medicare and Medicaid Services made $93.6 million in incorrect Medicare electronic health record incentive payments to acute-care hospitals.That\u2019s the finding of an audit<\/a> by the Department of Health and Human Services\u2019 Office of the Inspector General, which focused on Medicare EHR incentive payments from Jan.1, 2013, through Sept. 30, 2017.

In particular, the OIG reviewed a statistical sample of 99 net incentive payments\u2014totaling $152.2 million\u2014of which 53 were final and 46 were non-final payments.\u201cCMS did not always make Medicare EHR incentive payments to acute-care hospitals in accordance with federal requirements,\u201d according to the OIG\u2019s audit. \u201cSpecifically, of 99 sampled net incentive payments, 50 net incentive payments were incorrect (totaling $1.3 million, or less than 1 percent of $152.2 million reviewed).\u201dAuditors blamed the incorrect net incentive payments on the fact that:\u00b7 Medicare administrative contractors did not review the supporting documentation for all hospitals to identify errors in the hospitals' cost-report numbers used to calculate the incentive payments. \u00b7 CMS did not include labor and delivery services in the incentive payment calculations, which resulted in hospitals receiving inflated incentive payments. While CMS made incorrect net incentive payments of $93.6 million, OIG also pointed out that this figure represents less than 1 percent of the $10.8 billion in total incentive payments during the audit period.Nonetheless, to attempt recovery of the $93.6 million in incorrect net incentive payments, auditors made two recommendations to CMS:\u00b7 Instruct the Medicare administrative contractors to review all hospitals\u2019 supporting documentation to identify errors in the hospitals\u2019 cost-report numbers used to calculate the incentive payments. \u00b7 Revise the incentive payment calculations to include labor and delivery inpatient bed-days reported.CMS concurred with the OIG\u2019s recommendations. A separate OIG audit is planned that will focus on Medicare EHR incentive payments made to critical access hospitals.","saveContent":"The Centers for Medicare and Medicaid Services made $93.6 million in incorrect Medicare electronic health record incentive payments to acute-care hospitals.That\u2019s the finding of an audit<\/a> by the Department of Health and Human Services\u2019 Office of the Inspector General, which focused on Medicare EHR incentive payments from Jan.1, 2013, through Sept. 30, 2017.

In particular, the OIG reviewed a statistical sample of 99 net incentive payments\u2014totaling $152.2 million\u2014of which 53 were final and 46 were non-final payments.\u201cCMS did not always make Medicare EHR incentive payments to acute-care hospitals in accordance with federal requirements,\u201d according to the OIG\u2019s audit. \u201cSpecifically, of 99 sampled net incentive payments, 50 net incentive payments were incorrect (totaling $1.3 million, or less than 1 percent of $152.2 million reviewed).\u201dAuditors blamed the incorrect net incentive payments on the fact that:\u00b7 Medicare administrative contractors did not review the supporting documentation for all hospitals to identify errors in the hospitals' cost-report numbers used to calculate the incentive payments. \u00b7 CMS did not include labor and delivery services in the incentive payment calculations, which resulted in hospitals receiving inflated incentive payments. While CMS made incorrect net incentive payments of $93.6 million, OIG also pointed out that this figure represents less than 1 percent of the $10.8 billion in total incentive payments during the audit period.Nonetheless, to attempt recovery of the $93.6 million in incorrect net incentive payments, auditors made two recommendations to CMS:\u00b7 Instruct the Medicare administrative contractors to review all hospitals\u2019 supporting documentation to identify errors in the hospitals\u2019 cost-report numbers used to calculate the incentive payments. \u00b7 Revise the incentive payment calculations to include labor and delivery inpatient bed-days reported.CMS concurred with the OIG\u2019s recommendations. A separate OIG audit is planned that will focus on Medicare EHR incentive payments made to critical access hospitals.","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

OIG: CMS made $93.6M in faulty Medicare EHR incentive payments

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