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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Medicare Compliance Review of Mayo Clinic Florida for 2013 and 2014
Mayo Clinic Florida (the Hospital) complied with Medicare billing requirements for 185 of the 199 inpatient and outpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 14 claims, resulting in net overpayments totaling $71,000. 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. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $103,000 for the audit period.
Administrative costs received by the Blue Cross Blue Shield Association on its FYs 2010 through 2015 FACPs were generally reasonable, allowable, and allocable and in compliance with Federal regulations. However, we identified $161,000 in unspent termination funds, a $7,000 severance benefit overpayment, and $6,000 in unallowable costs.
Final Civil Action – Security National Mortgage Company Settled Allegations of Failing To Comply With HUD’s Federal Housing Administration Loan Requirements
