tci Medicare Compliance & Reimbursement - 2003 Issue 19

Hospitals: 4 ORGAN ACQUISITION COST REPORTING PITFALLS

The complexities of Medicare reimbursement for organ transplant centers are all too clear in a recent HHS Office of Inspector General review of a Tampa, FL hospital. Titled "Review of Medicare Costs for Organ Acquisitions at Tampa General Hospital" (A-04-02-02017), the audit finds that TGH's cost report claim for $7 million was overstated by about $1.4 million in fiscal year 1999. Most of the excess resulted from an overstatement of the direct cost for kidney and liver acquisition combined with an understatement of the direct costs for heart acquisitions. According to the OIG, the key problem areas were:...

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