Submitting OIG:
Report Description:
Naples Community Hospital (the Hospital), located in Naples, Florida, complied with Medicare billing requirements for 134 of the 225 inpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 91 claims, resulting in net overpayments totaling $409,000. 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. On the basis of our sample results, we estimated that the Hospital received at least $4.5 million in overpayments from Medicare.
Date Issued:
Tuesday, October 27, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-14-07049
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Naples Community Hospital
Location(s):
FL
United StatesType of Report:
Audit
Questioned Costs:
$1,657,944
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41407049.pdf | 2.67 MB |
Additional Details Link: