Medicare Compliance Review of Cape Cod Hospital for Calendar Years 2008 and 2009
Cape Cod Hospital (the Hospital) complied with Medicare billing requirements for 178 of the 382 claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for selected inpatient and outpatient claims in other areas. Specifically, of 382 sampled claims, 204 claims had errors in overpayments totaling $379,000 for calendar years 2008 and 2009. Overpayments occurred primarily because the Hospital did not have adequate controls to prevent incorrect billing of Medicare claims and did not fully understand Medicare billing requirements.
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Priority recommendations summarized.
FY 2016 Work Plan
OIG projects planned for 2016.
Significant OIG activities in 6-month increments.