Submitting OIG:
Report Description:
The Washington State Health Care Authority (State agency) claimed Federal Medicaid reimbursement for inpatient hospital services related to treating certain provider-preventable conditions (PPCs). For the period July 1, 2012, through December 31, 2013, we identified 463 claims totaling $18.3 million ($10.8 million Federal share) that contained PPCs and (1) a present-on-admission indicator code (POA code) indicating that the condition was not present on admission, (2) a POA code indicating that the documentation in the patient's medical record was insufficient to determine whether the condition was present on admission, or (3) no POA code.
Date Issued:
Thursday, September 15, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-14-02012
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
WA
United StatesType of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
Attachment | Size |
---|---|
91402012.pdf | 1.3 MB |
Additional Details Link: