Teaching hospitals in two Eastern regions overcharged Medicare by more than half a million dollars over two recent years for the cost of training new physicians, according to two investigations by the HHS inspector general's office (PDF). However, they appear unlikely to have to pay the money back.
As part of a regular fraud review, OIG officials compared fiscal 2006 and 2007 Medicare claims for teaching hospitals in Medicare's New York and Connecticut region with claims from such hospitals in the Pennsylvania, Maryland, New Jersey, Delaware and District of Columbia region. They found that $696,662 was paid to 53 hospitals in the two regions when more than one claimed to be training the same resident or intern.
The inspector general investigation found intern "overstatements" in 10 additional hospitals, but those did not affect their Medicare graduate medical education reimbursement.