Medicare Compliance Review of Heartland Regional Medical Center for Calendar Years 2010 and 2011

Heartland Regional Medical Center (Heartland) (operating in Missouri) complied with Medicare billing requirements for 128 of the 194 inpatient and outpatient claims we reviewed. However, Heartland did not fully comply with Medicare billing requirements for the remaining 66 claims, resulting in net overpayments of $282,000 for calendar years 2010 and 2011. Overpayments occurred primarily because Heartland did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.