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Medicare Compliance Review of the Hospital of the University of Pennsylvania for Calendar Years 2008 Through 2011

The Hospital of the University of Pennsylvania (the Hospital), located in Philadelphia, Pennsylvania, complied with Medicare billing requirements for 154 of the 208 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 54 claims, resulting in net overpayments totaling $538,000 for calendar years 2008 through 2011. These overpayments occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.

Filed under: Center for Medicare and Medicaid Services