St. Joseph's/Candler agreed to repay the state of Georgia $2.7 million to settle allegations that the two-campus Savannah hospital received excessive Medicaid payments for patients also covered by Medicare.
Ga. hospital to repay state $2.7 million
The claims at issue—referred to as crossover claims—understated the amounts already paid by Medicare and led the state to calculate erroneously high Medicaid reimbursement, according to a news release from Attorney General Sam Olens.
St. Joseph's/Candler cooperated with an investigation after the attorney general's Medicaid Fraud Control Unit detected an abnormal pattern of Medicaid claims by hospitals throughout the state, according to a written statement from St. Joseph's/Candler.
The inquiry uncovered a glitch in the state's computer system that deleted information from claims and led to the overpayments, St. Joseph's/Candler said in the statement. “While we are in total agreement that the funds should be repaid, the error in payment was outside of our control, and is the same issue that has been experienced by other hospitals throughout the state.”
Five-hospital WellStar Health System, Marietta, Ga., agreed to pay $2.7 million this past August to resolve the same issue, and the state's investigation of other hospitals' crossover claims is ongoing, according to the attorney general's office.
Send us a letter
Have an opinion about this story? Click here to submit a Letter to the Editor, and we may publish it in print.