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Medicare Compliance Review of Mercy Medical Center in Mason City for Calendar Years 2010 and 2011.

机译:2010年和2011年梅森市慈善医疗中心的medicare合规审查。

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This review is part of a series of hospital compliance reviews. Using computer matching, data mining, and data analysis techniques, we identified hospital claims that were at risk for noncompliance with Medicare billing requirements. For calendar year (CY) 2011, Medicare paid hospitals $151 billion, which represents 45 percent of all fee-for-service payments; therefore, the Office of Inspector General must provide continual and adequate oversight of Medicare payments to hospitals. The objective of this review was to determine whether Mercy Medical Center in Mason City (the Hospital) complied with Medicare requirements for billing inpatient and outpatient services on selected claims.

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