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Audit (A-01-09-00525)

05-19-2010
Review of Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 Processed by National Government Services for Calendar Year 2007

Executive Summary

Inpatient rehabilitation facilities (IRF) incorrectly coded 30 of the 46 claims that we reviewed with patient status code 05. Because IRFs did not use the appropriate transfer codes on these claims, NGS made $300,000 in overpayments for miscoded transfers to 15 IRFs in calendar year 2007.

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