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U of Iowa Hospitals probed in false-claims case

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The Office of Inspector General  of the U.S. Department of Health and Human Services has subpoenaed the University of Iowa Hospitals and Clinics in Iowa City as part of a probe into suspected Medicare and Medicaid false claims.

The government is reportedly  asking for documents related to federal healthcare program claims, the university’s Epic EHR, patient questionnaires, patient system checks and revenue generated by physicians.

Also requested are  medical records for nine pages of federal health plan beneficiaries and personnel files for hospital employees.

Becker’s Hospital Review reports that the OIG investigated UIHC in 2012 “for Medicare compliance related to inpatient claims in 2009 and 2010. The health system was found to have complied with 31 percent of audited Medicare billing requirements, according to the report. At that time, OIG determined the hospital did not have adequate controls to prevent incorrect billing of Medicare claims.”

To read the entire Becker’s article, please hit this link.

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