Medicare Hospital Provider Compliance Audit: Staten Island University Hospital

This audit is part of a series of hospital compliance audits. Using computer matching, data mining, and data analysis techniques, we identified hospital claims that were at risk for noncompliance with Medicare billing requirements. For calendar year 2017, Medicare paid hospitals $206 billion, which represents 55 percent of all fee-for-service payments; accordingly, it is important to ensure that hospital payments comply with requirements.Our objective was to determine whether Staten Island University Hospital (the Hospital) complied with Medicare requirements for billing inpatient and outpatient services on selected types of claims.