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CMS Improperly Paid $38M for ED Outpatient Imaging, OIG Says
Health Leaders Media

The Centers for Medicare & Medicaid Services’ “inconsistent payment guidance” erroneously allowed about $38 million for improperly documented imaging claims in hospital outpatient emergency departments in 2008, a Department of Health and Human Services Office of Inspector General audit has determined.

A breakdown of the erroneous payments included 19% of claims — with a value of $29 million — for interpretation and reports for computed tomography and magnetic resonance imaging and 14% of claims — valued at $9 million — for interpretation and reports for X?rays, the OIG audit found.