We recommend that Virtua Our Lady of Lourdes Hospital strengthen controls to ensure that: all IRF beneficiaries meet Medicare criteria for acute inpatient rehabilitation and all required documentation is included in the medical records, all inpatient beneficiaries meet Medicare requirements for inpatient hospital services, procedure, diagnosis, and HCPCS codes are supported in the medical records and staff are properly trained, the use of bypass modifiers is supported in the medical records.
Questioned Costs
$0
Funds for Better Use
$0
Recommendation Status
Closed
Source UUID
21-A-02-085-270487
Recommendation Number
270487
Significant Recommendation
No