Submitting OIG:
Report Description:
This audit is part of a series of hospital compliance audits. Using computer matching, data mining, and data analysis techniques, we identified hospital claims that were at risk for noncompliance with Medicare billing requirements. For calendar year 2018, Medicare paid hospitals $179 billion, which represents 47 percent of all fee-for-service payments for the year.Our objective was to determine whether Lake Hospital System (the Hospital) complied with Medicare requirements for billing inpatient and outpatient services on selected types of claims.
Date Issued:
Wednesday, June 30, 2021
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-05-19-00024
Component, if applicable:
Centers for Medicare & Medicaid Services
Type of Report:
Audit
Questioned Costs:
$4,385,974
Funds for Better Use:
$0
Number of Recommendations:
3