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Medicare Compliance Review of Centro Cardiovascular de Puerto Rico y del Caribe for the Period January 1, 2008 Through June 30, 2010.

机译：2010年1月1日至2010年6月30日期间，Centro Cardiovascular de puerto Rico y del Caribe的医疗保险合规审查。

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Centro Cardiovascular de Puerto Rico y del Caribe (Cardiovascular) is a 192-bed hospital located in San Juan, Puerto Rico. Based on CMSs National Claims History data, Medicare paid Cardiovascular approximately $27 million for 2,029 inpatient and 7,125 outpatient claims for services provided to Medicare beneficiaries for the period January 1, 2008, through June 30, 2010. Our audit covered $2,763,915 in Medicare payments to Cardiovascular for 41 inpatient and 130 outpatient claims that we judgmentally selected as potentially at risk for billing errors. These 171 claims had dates of service from January 1, 2008, through June 30, 2010. Our objective was to determine whether Cardiovascular complied with Medicare requirements for billing inpatient and outpatient services on selected claims.

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年度 2012
页码 1-18
总页数 18
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; Centro Cardiovascular de Puerto Rico y del Caribe;

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; Centro Cardiovascular de puerto Rico y del Caribe;

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Medicare Compliance Review of Centro Cardiovascular de Puerto Rico y del Caribe for the Period January 1, 2008 Through June 30, 2010.

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