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Medicare Compliance Review of John Muir Medical Center, Walnut Creek, for Calendar Years 2008 Through 2010

机译：2008年至2010年日历年，核桃溪约翰缪尔医疗中心的医疗保险合规审查

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John Muir Medical Center, Walnut Creek (the Hospital), is an acute-care hospital located in Walnut Creek, California. Medicare paid the Hospital approximately $408 million for 20,020 inpatient and 915,121 outpatient claims for services provided to beneficiaries during calendar years (CY) 2008 through 2010 based on CMSs National Claims History data. Our audit covered $8,884,218 in Medicare payments to the Hospital for 197 claims that we judgmentally selected as potentially at risk for billing errors. These claims had dates of service in CYs 2008 through 2010 and consisted of 148 inpatient and 49 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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年度 2012
页码 1-21
总页数 21
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Medicare ; Audits ; Compliance reviews ; Hospitals ; Payment systems ; Recommendations ; Billing errors ; Inpatient claims ; Outpatient claims;

机译：医疗保险;审计;合规审查;医院;支付系统;建议;计费错误;住院索赔;门诊索赔;

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Medicare Compliance Review of John Muir Medical Center, Walnut Creek, for Calendar Years 2008 Through 2010

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