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GAO is currently reviewing ancillary service utilization to assess the reasonableness and medical necessity of ancillary services claimed for Medicare reimbursement.
Recommendations for Executive Action
|Department of Health and Human Services||1. The Secretary of HHS should direct the Administrator, HCFA, to specifically address the nonallowability of stat charges in the Medicare Provider Reimbursement Manual.|
|Department of Health and Human Services||2. The Secretary of HHS should direct the Administrator, HCFA, to require intermediary auditors to spot check for the inclusion of stat charges during their onsite audits of hospitals.|