tci Part B Insider - 2013 Issue 3

Compliance: OIG Asks CMS to Recoup $91 Million From Practices Who Treated Patients 'Unlawfully Present' in U.S.

Another $33 million was erroneously paid for prisoners’ medical care. If you sent a claim to Medicare after treating a patient who was unlawfully in the U.S., you probably got paid without a problem—but now CMS may ask you for that money back. The OIG’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...

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