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Medicare Compliance Review of Sierra View Medical Center

Sierra View Medical Center (the Medical Center), located in Porterville, California, complied with Medicare billing requirements for 5 of the 30 inpatient and outpatient claims we reviewed. However, the Medical Center did not fully comply with Medicare billing requirements for the remaining 25 claims, resulting in overpayments of approximately $798,000. These overpayments occurred primarily because the Medical Center 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