Audit Uncovers University of Pittsburgh Medical Center Missteps

Circle Connections: Policy & Regulatory Updates A federal audit has concluded that UPMC Presbyterian Shadyside overbilled Medicare $796,202 on claims filed from 2008 through 2011. The overpayments in 113 claims, discovered in a review of 238 claims considered at high risk for error, were found during a Medicare compliance audit by the U.S. Department of Health and Human Services' Office of the Inspector General. The report recommended that UPMC repay the overpaid amount. UPMC spokeswoman Gloria Kreps said on Tuesday, "We have reprocessed all claims identified by the audit for corrected reimbursement." More than half the overpayment amount . . .