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

Issued on  | Posted on  | Report number: A-01-09-00525

Report Materials

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.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
-

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.