Submitting OIG:
Report Description:
The Hospital complied with Medicare billing requirements for 54 of the 100 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 46 claims, resulting in overpayments of $1.6 million for the audit period. Specifically, 45 inpatient claims and 1 outpatient claim had billing errors.
Date Issued:
Wednesday, September 30, 2020
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-19-08071
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
CA
United StatesType of Report:
Audit
Questioned Costs:
$16,346,371
Funds for Better Use:
$0
Number of Recommendations:
3