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Medicare Compliance Review of Good Samaritan Medical Center for Calendar Years 2010 and 2011.

机译:2010年和2011年日历好的撒玛利亚医疗中心的医疗保险合规审查。

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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 are at risk for noncompliance with Medicare billing requirements. For calendar year (CY) 2012, Medicare paid hospitals $148 billion, which represents 43 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 Good Samaritan Medical Center (Good Samaritan) complied with Medicare requirements for billing inpatient and outpatient services on selected claims.

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