Medicare Compliance Review of Mary Washington Hospital for Calendar Years 2009 Through 2011.

摘要

This review is part of a series of hospital compliance reviews. Using computer matching, data mining, and other data analysis techniques, we identified hospital claims that were at risk for noncompliance with Medicare billing requirements. For calendar year (CY) 2011, Medicare paid hospitals $151 billion, which represents 45 percent of all fee-for-service payments; therefore, the Office of Inspector General must provide continual and adequate oversight of Medicare payments to hospitals. The objective of this review was to determine whether Mary Washington Hospital (the Hospital) complied with Medicare requirements for billing inpatient and outpatient services on selected claims.