June 8, 2010 Hospital-based inpatient psychiatric facilities (IPF) received an estimated $1.7 million in overpayments in 2006 and 2007 because they miscoded the source of admissions. A federal review of 100 claims submitted by IPFs found that 75 had used incorrect source-of-admission codes for patients admitted to the IPF from another department. The overpayments were made on behalf of Medicare beneficiaries who had been admitted to the IPF upon discharge from the acute care section of the same hospital. The incorrect claims had used emergency department admission codes. Download the Report . . .

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Nationwide Review of Medicare Part A Emergency Department Adjustments for Inpatient Psychiatric Facilities During Calendar Years 2006 & 2007 (A-01-09- 00504)

June 8, 2010 Hospital-based inpatient psychiatric facilities (IPF) received an estimated $1.7 million in overpayments in 2006 and 2007 because they miscoded the source of admissions. A federal review of 100 claims submitted by IPFs found that 75 had used incorrect source-of-admission codes for patients admitted to the IPF from another department. The overpayments were made on behalf of Medicare beneficiaries who had been admitted to the IPF upon discharge from the acute care section of the same hospital. The incorrect claims had used emergency department admission codes. Download the Report . . .

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Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.