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Medicare Compliance Review of University of California, San Diego, Medical Center for Calendar Years 2008 and 2009

机译:加州大学圣地亚哥分校医疗保健合规审查2008年和2009年日历医疗中心

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University of California, San Diego, Medical Center (the Hospital) is an acute-care hospital located in San Diego, California. Medicare paid the Hospital approximately $277 million for 12,947 inpatient and 177,075 outpatient claims for services provided to beneficiaries during calendar years (CY) 2008 and 2009 based on CMSs National Claims History data. Our audit covered $10,790,735 in Medicare payments to the Hospital for 210 claims that we judgmentally selected as potentially at risk for billing errors. These claims had dates of service in CYs 2008 and 2009 and consisted of 169 inpatient and 41 outpatient claims. Our objective was to determine whether the Hospital complied with Medicare requirements for billing inpatient and outpatient services on selected claims.

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