Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Christus Saint Vincent Regional Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

Christus Saint Vincent Regional Medical Center, in Santa Fe, New Mexico, (the Hospital) did not comply with Medicare requirements for billing Kwashiorkor on any of the 115 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor, but should have used codes for other forms of malnutrition. For 86 of the inpatient claims, correcting the diagnosis code resulted in no change in the diagnosis-related group payment. However, for the remaining 29 inpatient claims, the errors resulted in overpayments of $147,000. Hospital officials attributed these errors to the medical coding software program used to code the diagnoses.

Filed under: Center for Medicare and Medicaid Services