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Review of TrailBlazer Health Enterprises, LLC Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007

Issued on  | Posted on  | Report number: A-01-10-00500

Report Materials

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.

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.