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Medicare Compliance Review of Florida Hospital Orlando for the Period January 1, 2011, Through June 30, 2012

Florida Hospital Orlando (the Hospital), located in Orlando, Florida, complied with Medicare billing requirements for 121 of the 215 inpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 94 claims, resulting in net overpayments totaling $494,000. These errors 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. On the basis of our sample results, we estimated that the Hospital received at least $11.5 million in overpayments from Medicare.

Filed under: Center for Medicare and Medicaid Services