Skip Navigation Change Font Size

Audit (A-03-12-06107)

03-06-2013
Medicare Compliance Review of Somerset Hospital for Calendar Years 2009 Through 2011

Complete Report

Download the complete report

Adobe® Acrobat® is required to read PDF files.

Summary

Somerset Hospital (the Hospital), located in Somerset, Pennsylvania, complied with Medicare billing requirements for 48 of the 126 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 78 claims, resulting in net overpayments totaling $313,000 for calendar years 2009 through 2011. These overpayments occurred primarily because the Hospital did not have adequate controls to prevent incorrect billing of Medicare claims and did not fully understand the Medicare billing requirements within the selected risk areas that contain errors.

Copies can also be obtained by contacting the Office of Public Affairs at Public.Affairs@oig.hhs.gov.

I'm Looking For

Let's start by choosing a topic

Exclusions Database Report Fraud
Newsletter Sign Up Envelop Graphic

Stay up to date on the latest OIG news and opinions

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201