Skip Navigation Change Font Size

Audit (A-01-12-00528)

12-03-2013
Medicare Compliance Review of St. Elizabeth's Medical Center for Calendar Years 2010 and 2011

Complete Report

Download the complete report

Adobe® Acrobat® is required to read PDF files.

Summary

St. Elizabeth's Medical Center (St. Elizabeth's) (operating in Brighton, MA) complied with Medicare billing requirements for 57 of the 282 inpatient and outpatient claims we reviewed. However, St. Elizabeth's did not fully comply with Medicare billing requirements for the remaining 225 claims, resulting in net overpayments of approximately $1.2 million for calendar years 2010 and 2011. Overpayments occurred primarily because St. Elizabeth's did not have adequate controls to prevent incorrect billing of Medicare claims within the selected risk areas that contained 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