Medicare Overpays For Canceled Surgeries, Report Says

Law360, New York (August 6, 2013, 3:28 PM EDT) -- The Centers for Medicare and Medicaid Services could potentially save millions of dollars each year by changing and clarifying Medicare billing requirements for patients admitted for elective surgeries that are later canceled, after a study showed high rates of unreasonable billing, according to a report released Tuesday.

Based on an estimate extrapolated from a sample of payments, Medicare paid out up to $38.2 million in wrongly billed reimbursement across 2009 and 2010 for inpatient admission claims related to elective surgery that was later canceled, a result...
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