Medicare Compliance Review of Memorial Hospital for Calendar Years 2010 and 2011

Memorial Hospital (Memorial) (operating in Colorado) did not fully comply with Medicare requirements for billing inpatient and outpatient services, resulting in overpayments of approximately $161,000 in calendar years 2010 and 2011. These errors occurred primarily because Memorial did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors. Specifically, these errors occurred primarily because of human error or lack of training.