- Associated Press - Tuesday, February 10, 2015

CHAPEL HILL, N.C. (AP) - University of North Carolina Hospitals have been accused of overbilling Medicare by about $2.5 million.

The federal insurance program wants the Chapel Hill health organization to repay the money, The News & Observer of Raleigh (https://bit.ly/1y5QSay) reported.

UNC says it was entitled to most of the money and is appealing the agency’s finding. Hospital officials want to meet with Medicare auditors to go over their findings.

The appeals process means the hospital can participate in administrative hearings on the overbill allegations and gives the hospital the option of negotiating a settlement with Medicare.

The Department of Health and Human Services’ inspector general’s review covered the period from January 2011 through September 2012.

UNC Hospitals admits mistakes in three cases. But the school says 56 other claims that the federal report cites were billed correctly.

The 59 cases were identified out of 251 claims that were sampled by the inspector general. The investigators contend there were $451,995 in overpayments out of $3.5 million billed in the reviewed cases. The agency projected that there was an overbilling of $2.5 million during the 21-month period audited.


Information from: The News & Observer, https://www.newsobserver.com

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