Department of Health and Human Services

Office of Inspector General -- AUDIT

"Audit of Yale-New Haven Hospital Organ Acquisition Costs Claimed For The Period October 1, 1997 Through September 30, 2001," (A-01-04-00503)

July 8, 2004


Adobe PDF Logo Complete Text of Report is available in PDF format (552 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


EXECUTIVE SUMMARY:

Yale-New Haven did not comply with Medicare laws, regulations, and guidelines in the preparation of its Medicare cost report and received excess reimbursement for organ acquisition activities.  Specifically, Yale-New Haven claimed costs associated with post-transplant activities. This occurred because Yale-New Haven did not have a system to identify salaries related to post-transplant activities.  As a result, Yale-New Haven claimed, as organ acquisition costs, $1,572,795 of salary costs that were not properly supported with current, accurate documentation that differentiated between pre-transplant and post-transplant activities as required by Medicare.  This resulted in a Medicare overpayment of $793,482.


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