tci Medicare Compliance & Reimbursement - 2013 Issue 4

Compliance: Get Ready to Repay CMS for Treating Illegal Immigrants

Millions at stake for payment of non-covered services. If you have been paid erroneously for treating patients who did not have a valid permit to be in the US, then you need to gear up to repay the money. The HHS Office of the Inspector General’s recent report, "Medicare Improperly Paid Providers Millions of Dollars for Unlawfully Present Beneficiaries Who Received Services During 2009-2011" notes that Medicare does not cover services rendered to aliens who aren’t lawfully present in the U.S. However, the OIG found that the agency paid out $91.6 million to these patients...

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