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Audit (A-02-11-01016)

09-23-2014
The Community Hospice, Inc., Improperly Claimed Medicare Reimbursement for Some Hospice Services

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Summary

The Community Hospice, Inc. (the Hospice), operating in New York State, claimed Medicare reimbursement for some hospice services that did not comply with certain Medicare requirements. Of the 100 beneficiary-months in our random sample for which the Hospice claimed Medicare reimbursement, 93 beneficiary-months complied with Medicare requirements, but 7 did not. We estimated that the Hospice received at least $447,000 in improper Medicare reimbursement.

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