Avoid Fraud: Use Worksheet G

Stethoscope, handcuffs and money on gray background

It seems every time you watch the news or read a paper, there is something about health care fraud. In 2014, the federal government recovered nearly $5.7 billion in health care fraud cases, an increase of $1.9 billion from 2013. Health care fraud can take many forms, most commonly it involves the submission of improper claims. But there also the risk of financial fraud by overstating revenues or expenses. One way CMS tries to prevent this is to require the cost report be completed using data that is “current, accurate and . . . capable of being audited.” The worksheet series “G” includes a balance sheet and income statement and CMS indicates these should be consist with financial statements.

Tip #14:

Ensure Worksheet G amounts can be reconciled to Financial Statements (Pub. 15-2, §Section 4040).

Further guidance can be found on the Centers for Medicare and Medicaid Services (CMS) website:

Provider Reimbursement Manual 15-2

Questions? Please contact Marie White at 612.253.6546 or mewhite@eidebailly.com.



Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s