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Audit (A-07-11-05014)

Medicare Compliance Review of Barnes Jewish Hospital for Calendar Years 2009 and 2010

Executive Summary

Barnes Jewish Hospital (the Hospital), located in St. Louis, Missouri, complied with Medicare billing requirements for 182 of the 240 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 58 claims, resulting in overpayments totaling $725,000 for calendar years 2008 through 2011. Overpayments occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims.

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