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Audit (A-04-14-03077)

10-02-2014
Medicare Compliance Review of Mission Hospital for the Period January 1, 2011, through December 31, 2012

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Summary

Mission Hospital (Mission), operating in North Carolina, complied with Medicare billing requirements for 144 of the 192 inpatient and outpatient claims we reviewed. However, Mission did not fully comply with Medicare billing requirements for the remaining 48 claims, resulting in overpayments of $122,000 for CYs 2011 and 2012 (audit period). On the basis of our sample results, we estimated that Mission received overpayments of at least $443,000 for the audit period.

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201