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Audit (A-01-10-00518)

02-24-2011
Review of Jurisdiction 5 Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007

Executive Summary

IRFs incorrectly coded 24 of the 53 claims that we reviewed with patient status code 05. Because IRFs did not use the appropriate transfer codes on these claims, Medicare made $245,000 in overpayments for miscoded transfers to 11 IRFs in CY 2007.

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