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Audit (A-09-11-02055)

02-28-2012
Medicare Compliance Review of University of California, San Diego, Medical Center for Calendar Years 2008 and 2009

Executive Summary

University of California, San Diego, Medical Center (the Hospital) complied with Medicare billing requirements for 111 of the 210 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 99 claims, resulting in overpayments totaling $351,000 for calendar years 2008 and 2009. These overpayments occurred primarily because the Hospital's existing controls did not adequately prevent incorrect billing of these Medicare claims.

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