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Accession Number PB2013-108166
Title Medicare Compliance Review of Rapid City Regional Hospital for Calendar Years 2010 and 2011.
Publication Date May 2013
Media Count 18p
Personal Author N/A
Abstract Rapid City Regional Hospital (the Hospital) has 368 beds and is located in Rapid City, South Dakota. Medicare paid the Hospital approximately $161 million for 43,714 outpatient and 10,659 inpatient claims for services provided to Medicare beneficiaries during calendar years (CY) 2010 and 2011 based on CMSs National Claims History data. Our audit covered $6,335,984 in Medicare payments to the Hospital for 132 outpatient and 119 inpatient claims that we identified as potentially at risk for billing errors for CYs 2010 and 2011. Our objective was to determine whether the Hospital complied with Medicare requirements for billing outpatient and inpatient services on selected claims.
Keywords Audits
Billing errors
Compliance reviews
Inpatient claims
Outpatient claims
Payment systems
Rapid City Regional Hospital

Source Agency Department of Health and Human Services, Washington, DC
NTIS Subject Category 44U - Health Care Delivery Organization & Administration
Corporate Author Department of Health and Human Services, Washington, DC. Office of the Inspector General.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1319
Contract Number N/A

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