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IRF

OIG Audit Findings: Many Inpatient Rehabilitation Facility Stays Did Not Meet Medicare Requirements (October 10, 2018)

[10/17/18]

Posted on October 17, 2018 in Health Law News

Published by: Hall Render

In September 2018, HHS Office of Inspector General (“OIG”) issued audit Report No. A-01-15-00500 (the “Report”) finding that out of 220 randomly sampled inpatient rehabilitation facility (“IRF”) stays from 2013, nearly 80 percent did not meet Medicare coverage and documentation requirements. Specifically, for 175 of the 220 sampled stays at 135 IRFs, the medical record... READ MORE

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CMS Guidance May Prevent Inpatient Rehabilitation Claim Denials

[03/05/18]

Posted on March 5, 2018 in Health Law News

Published by: Hall Render

On February 23, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued guidance that may result in fewer denials of claims made by Inpatient Rehabilitation Facilities (“IRFs”) for services (“Guidance”). Based on the Guidance, beginning March 23, 2018, Medicare contractors cannot make claim denials exclusively on the basis of a failure to meet... READ MORE

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