Submitting OIG:
Report Description:
North Carolina Baptist Hospital (the Hospital), located in Winston Salem, North Carolina, complied with Medicare billing requirements for 209 of the 246 inpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 37 claims, resulting in net overpayments of approximately $221,000 for the audit period. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $1.4 million for the audit period. These errors occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.
Date Issued:
Wednesday, September 14, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-15-04036
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
North Carolina Baptist Hospital
Location(s):
NC
United StatesType of Report:
Audit
Questioned Costs:
$1,488,468
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41504036.pdf | 3.95 MB |
Additional Details Link: