Medicare Compliance Review of Saint Anthony's Medical Center for 2011 and 2012
Saint Anthony's Medical Center (the Hospital) (operating in Saint Louis, Missouri) complied with Medicare billing requirements for 209 of the 262 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 53 claims, resulting in overpayments of $309,000 for calendar years (CYs) 2011 and 2012 (49 claims) and CY 2010 (4 claims). Specifically, 30 outpatient claims had billing errors, resulting in overpayments of $191,000, and 23 inpatient claims had billing errors, resulting in overpayments of $118,000. 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.
Filed under: Center for Medicare and Medicaid Services