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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-09-14-02039
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.

Report Type
Audit
Location

CA
United States

Number of Recommendations
2
Questioned Costs
$798,064
Funds for Better Use
$0
External Entity
Sierra View Medical Center

Department of Health & Human Services OIG

United States