Medicare Compliance Review of Lafayette General Medical Center for Claims Paid During 2013 and 2014

Lafayette General Medical Center (the Hospital) (operating in Louisiana) complied with Medicare billing requirements for 34 of the 103 inpatient claims and all 31 outpatient claims. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 69 inpatient claims. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $4.4 million for claims paid during 2013 and 2014.