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Medicare Compliance Review of California Pacific Medical Center, Pacific Campus, for Calendar Years 2009 and 2010

California Pacific Medical Center, Pacific Campus (the Hospital), complied with Medicare billing requirements for 63 of the 224 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 161 claims, resulting in overpayments totaling $1.2 million. These overpayments occurred primarily because the Hospital's existing controls did not adequately prevent incorrect billing of these Medicare claims.

Filed under: Center for Medicare and Medicaid Services