(L-R)Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff of Lamb McErlane. Courtesy photos
In June, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released Report No. A-07-18-02815 summarizing OIG’s findings of an audit assessing the discrepancy in Medicare payments to provider-based facilities versus freestanding facilities in calendar years 2010 through 2017 in eight selected states.
OIG’s audit covered $3.95 billion in actual payments that Medicare and Medicare beneficiaries made for evaluation and management (E&M) services they received at provider-based facilities in the selected states. Those states were California, Colorado, Florida, Louisiana, Michigan, Missouri, New York and Texas.
