Medicare Compliance Review of Good Samaritan Hospital for Calendar Years 2010 and 2011

Good Samaritan Hospital (the Hospital), located in Los Angeles, California, complied with Medicare billing requirements for 48 of the 132 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 84 claims, resulting in overpayments of $904,000 for calendar years 2010 and 2011. These overpayments 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.