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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Kindred Hospital of Central Ohio Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor
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.
For our final report on the Bureau of Industry and Security's (BIS') continuous monitoring program, our objective -- in accordance with the Federal Information SecurityManagement Act of 2002 -- was to determine whether BIS' continuous monitoring strategy and practices, including ongoing security control assessments of its critical information systems, provide adequate information for authorizing officials to make proper risk-based decisions.
