Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 Parkridge Medical Center, Inc. (the Hospital), located in Chattanooga, Tennessee, complied with Medicare billing requirements for 88 of 100 inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 12 claims for the audit period (calendar years 2014 and 2015). On the basis of our sample results, we estimated that the Hospital received overpayments totaling at least $201,808 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.
Friday, August 18, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Parkridge Medical Center, Inc.
Type of Report:
Funds for Better Use:
Number of Recommendations: