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Audit (A-03-11-00008)

02-14-2012
Review of Medicare Acute Care Inpatient Same-Day Readmissions at Thomas Jefferson University Hospitals, Inc.

Executive Summary

Thomas Jefferson University Hospitals, Inc. (Jefferson), did not always bill same-day readmissions in accordance with Federal requirements. For 4 of the 133 same-day readmissions in our review, Jefferson incorrectly billed the second admission as a separate inpatient stay instead of a continuous stay based on the first admission, resulting in $43,000 in overpayments. These overpayments occurred because Jefferson did not have adequate training to review same-day readmissions and prevent incorrect billings.

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