Text of Recommendation | 3. We recommend that Alta Bates Summit Medical Center strengthen controls to ensure that: (1) all IRF beneficiaries meet Medicare criteria for acute inpatient rehabilitation and all required documentation is included in the medical records, (2) procedure and diagnosis codes are supported in the medical records and staff are properly trained, (3) all inpatient beneficiaries meet Medicare requirements for inpatient hospital services, (4) the use of bypass modifiers is supported in the medical records, and (5) staff are properly trained. |
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Recommendation Number | 269548 |
Recommendation Status | Open |
Significant Recommendation | No |
Recommendation Questioned Costs | $0 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
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Linked Report |