The Centre for Medicare Services, through the partnership between Medicaid and Medicare guarantees the public access to affordable, high-quality health care. The New York State Department of Health paid $986,316 more to the hospital due to incorrect data input. United States Department of Health and Human Services 2003. The New York State Department of Health advises that the first step is to assess the incorrect payment made for an inpatient transfer. To recover the excess payment, hospitals will have to establish reliable billing systems and data input systems in order to avoid misallocations of resources. (Burks and al., 2002). To promote accountability and maintain vigilance, hospitals should provide sufficient funds for patients to be discharged correctly.
Second, a training program is proposed to enhance the data entry and system application skills of healthcare workers. The training of employees will prevent misappropriations, incorrect data input and other errors that have already cost CMS and NYS Department of Health many thousands of dollars. Training employees will enhance their skills, enable them to process claims more rapidly, and guarantee that patients’ discharges are accurately classified (Meyers & Johnston, 2021). Training would reduce the number of false claims which resulted into approximately $21.5million in overpayments. New York State Department of Health, institutions and providers will learn how to properly account for patient transfer between consolidated and merged facilities.
New York State Department of Health’s last recommendation is to create and implement Medicaid regulations that guarantee proper inpatient movement among divisions of consolidated or merged care facilities. Overpayments resulted from the failure of New York State Department of Health and hospital management to comply with CMS standards regarding patient transfer. The law would make institutions more transparent and responsible, which will decrease overpayments. (Burks, 2022).
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