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Medicare Compliance Review of University of Wisconsin Hospital and Clinics for Calendar Years 2008 Through 2010

The University of Wisconsin Hospital and Clinics (the Hospital), located in Madison, Wisconsin, complied with Medicare billing requirements for 87 of the 186 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 99 claims, resulting in net overpayments of approximately $316,000 for calendar years 2008 through 2010. 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: Centers for Medicare and Medicaid Services