Accession Number PB2014-103234
Title Medicare Compliance Review of Heartland Regional Medical Center for Calendar Years 2010 and 2011.
Publication Date Dec 2013
Media Count 21p
Personal Author N/A
Abstract This review is part of a series of hospital compliance reviews. 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 (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 Heartland Regional Medical Center (Heartland) complied with Medicare requirements for billing inpatient and outpatient services on selected claims.
Keywords Audits
Billing errors
Compliance reviews
Heartland Regional Medical Center(Missouri)
Hospitals
Inpatient claims
Medicare
Outpatient claims
Payments systems
Recommendations


 
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 1409
Contract Number N/A

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