Submitting OIG:
Report Description:
Kindred Hospital of Central Ohio (the Hospital), in Mansfield, Ohio, did not comply with Medicare requirements for billing Kwashiorkor on any of the 77 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor but should have billed for other forms of malnutrition or no malnutrition at all. For 66 of the inpatient claims, substituting a more appropriate diagnosis code produced no change in the payment amount. For the remaining 11 inpatient claims, the errors resulted in overpayments of $62,000. Hospital officials attributed these errors to a former owner of the hospital and to a lack of clarity in the coding guidelines.
Date Issued:
Monday, October 19, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-03-15-00002
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Kindred Hospital of Central Ohio
Location(s):
OH
United StatesType of Report:
Audit
Questioned Costs:
$62,114
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
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31500002.pdf | 210.9 KB |
Additional Details Link: