Medicare Compliance Review of University of Florida Health Jacksonville for 2013 and 2014

University of Florida Health Jacksonville (the Hospital) complied with Medicare billing requirements for 133 of the 154 inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 21 claims, resulting in net overpayments of $64,000 for the audit period. These errors occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors. On the basis of our sample results, we estimated that the Hospital received overpayments of at least $273,000 for the audit period.