Review of TrailBlazer Health Enterprises, LLC Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007
Inpatient rehabilitation facilities (IRF) incorrectly coded 24 of the 41 claims that we reviewed with patient status code 05. Because IRFs did not use the appropriate transfer codes on these claims, TrailBlazer made $162,000 in overpayments for miscoded transfers to 10 IRFs in calendar year 2007.
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Priority recommendations summarized.
FY 2017 Work Plan
OIG projects planned for 2017.
Significant OIG activities in 6-month increments.