Medicare Compliance Review of North Shore Medical Center for Calendar Years 2009 and 2010
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North Shore Medical Center (the Hospital) complied with Medicare billing requirements for 75 of the 316 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 241 claims, resulting in overpayments totaling $816,000 for calendar years 2009 and 2010. These errors occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims and did not fully understand the Medicare billing requirements within the selected risk areas that contained errors.
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Priority recommendations summarized.
FY 2016 Work Plan
OIG projects planned for 2016.
Significant OIG activities in 6-month increments.