Medicare Compliance Review of University of Missouri Health Center for 2010 and 2011

University of Missouri Health Center (the Hospital) (operating in Columbia, Missouri) complied with Medicare billing requirements for 159 of the 183 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 24 claims, resulting in overpayments of $189,000 for calendar years (CYs) 2010 and 2011 (19 claims) and CYs 2009 and 2012 (5 claims). Specifically, 10 outpatient claims had billing errors, resulting in overpayments of $106,000, and 14 inpatient claims had billing errors, resulting in net overpayments of $83,000. These errors 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.