Submitting OIG:
Report Description:
Sierra View Medical Center (the Medical Center), located in Porterville, California, complied with Medicare billing requirements for 5 of the 30 inpatient and outpatient claims we reviewed. However, the Medical Center did not fully comply with Medicare billing requirements for the remaining 25 claims, resulting in overpayments of approximately $798,000. These overpayments occurred primarily because the Medical Center did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.
Date Issued:
Thursday, November 12, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-14-02039
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Sierra View Medical Center
Location(s):
CA
United StatesType of Report:
Audit
Questioned Costs:
$798,064
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
91402039.pdf | 2.01 MB |
Additional Details Link: