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Audit (A-01-10-00517)

12-28-2010
Review of Jurisdiction 10 Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007

Executive Summary

Inpatient rehabilitation facilities (IRF) incorrectly coded 19 of the 54 claims that we reviewed with patient status code 05. Because IRFs did not use the appropriate transfer codes on these claims, Medicare contractors made $185,000 in overpayments for miscoded transfers to 15 IRFs in CY 2007.

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