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Medicare Compliance Review of Memorial University Medical Center

Memorial University Medical Center (the Hospital), located in Savannah, Georgia, complied with Medicare billing requirements for 92 of the 131 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 39 claims, resulting in overpayments of $599,530 in calendar year 2015 and 2016. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $1.4 million for the audit period. During the course of the audit, the Hospital submitted some of these claims for reprocessing that we verified as correctly reprocessed. Accordingly, we have reduced the recommended refund by this amount.

Filed under: Center for Medicare and Medicaid Services