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Audit (05-11-00012)

10-24-2011
Review of Cleveland Clinic's Claims for Procedures That Included the Replacement of Medical Devices During 2008 and 2009

Executive Summary

The Cleveland Clinic did not fully comply with Medicare requirements for obtaining credits available from manufacturers and for reporting the appropriate billing codes and charges to reflect the credits it received. The Clinic was overpaid $254,000 ($185,000 outpatient and $69,000 inpatient), and beneficiaries incurred $6,000 in additional copayment costs.

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