Medicare Compliance Review of Singing River Hospital for Calendar Years 2008 Through 2010.

摘要

Singing River Hospital (the Hospital) is a 435-bed hospital located in Pascagoula, Mississippi. According to CMSs National Claims History data, Medicare paid the Hospital approximately $277 million for 23,407 inpatient and 209,417 outpatient claims for services provided to beneficiaries during calendar years (CY) 2008, 2009, and 2010. Our audit covered $3,409,995 in Medicare payments to the Hospital for 100 inpatient and 269 outpatient claims that we identified as potentially at risk for billing errors. These 369 claims had dates of service in CYs 2008, 2009 and 2010. Our objective was to determine whether the Hospital complied with Medicare requirements for billing inpatient and outpatient services on selected claims.