Corrections to Medicaid and Medicare billing are part of the normal business cycle in the healthcare industry. It is important that the state and hospitals continually audit these complex programs to correct overpayments and underpayments.
For example, in the past, St. Joseph's/Candler has received lump payments after we were underpaid for Medicaid and Medicare coverage.
In this case, the state began an investigation at a handful of Georgia hospitals after finding an unusual pattern of claims, mostly for $1,000 or less. St. Joseph's/Candler was contacted in March and cooperated fully with the investigation.