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Accession Number PB2013-101510
Title Review of Medicare Outpatient Billing for Selected Drugs at Essentia Health Duluth.
Publication Date Aug 2012
Media Count 16p
Personal Author N/A
Abstract Essentia Health Duluth (Essentia) is an acute-care hospital located in Duluth, Minnesota. Based on data analysis, we reviewed $1,261,769 in Medicare payments to Essentia for 131 line items for injections of selected drugs that Essentia billed to Medicare during our audit period (January 1, 2008, through April 30, 2011). These line items consisted of injections for baclofen, infliximab, trastuzumab, rituximab, bortezomib, immune globulin, bevacizumab, epoetin alfa, and paclitaxel. Our objective was to determine whether Essentia billed Medicare for injections of selected drugs in accordance with Federal requirements.
Keywords Audits
Essentia Health Duluth
Federal requirements
Incorrect billing
Injectable drugs
Outpatient claims
Prescription drugs

Source Agency Department of Health and Human Services, Washington, DC
NTIS Subject Category 44Q - Health Related Costs
57Q - Pharmacology & Pharmacological Chemistry
Corporate Author Department of Health and Human Services, Washington, DC. Office of the Inspector General.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1303
Contract Number N/A

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