10-31-2014, 12:09 AM
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Arkansas: Drew Memorial overclaimed as much as $1.8m from Medicaid for circumcisions
Barrilleaux also informed the board of the Medicaid settlement of $462,000, which the hospital is supposed to pay by Nov. 7.
Barrilleaux explained that Medicaid claims the hospital was over paid this amount for circumcisions performed in 2011.
Bill Couch, who prepares the hospital’s end of the year reports, has been moving the circumcision costs from the nursery cost reports to labor and delivery cost reports even though the circumcisions occurred in the nursery, unless it was done as an outpatient after the baby was released from the hospital. Since the costs were added to labor and delivery, Medicaid claims the procedure was under the labor and delivery charges and not the nursery. L&D charges have a cap on them.
Couch told the board he made the adjustment on the cost reports because that’s the way he had done at other hospitals without any similar problems.
Barrilleaux said Tuesday night he has an appointment with Medicaid’s assistant director and is hopeful there can be some agreement made in this matter.
If not, the hospital could have to pay about the same amount for fiscal years 2012, 2013 and 2014, which would total approximately $1.8 million for the four year span.
The board asked how to fix the problem in the future. Barrilleaux said “Bill’s going to have stop moving (the cost) over there.”
Last edited by Minuteman; 10-31-2014 at 02:50 AM.