Submitting OIG:
Report Description:
University of California, Davis, Medical Center (the Hospital), located in Sacramento, California, complied with Medicare billing requirements for 130 of the 231 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 101 claims, resulting in overpayments of $2.4 million for calendar years 2011 through 2013. These overpayments occurred primarily because the Hospital's controls were not adequate to prevent incorrect billing of these Medicare claims within the selected risk areas that contained errors.
Date Issued:
Thursday, November 19, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-14-02036
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
University of California, Davis, Medical Center
Location(s):
CA
United StatesType of Report:
Audit
Questioned Costs:
$2,430,502
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
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91402036.pdf | 921.81 KB |
Additional Details Link: