Text of Recommendation | We recommend that St. Vincent Hospital strengthen controls to ensure full compliance with Medicare requirements; specifically, ensure that all IRF beneficiaries meet Medicare criteria for acute inpatient rehabilitation, all inpatient beneficiaries meet Medicare criteria for inpatient hospital services, diagnosis, discharge status, and admission source codes are supported in the medical records and staff are properly trained, and medical records accurately document the appropriate number of units and distinct procedural services and that staff are properly trained. |
---|---|
Recommendation Number | 267905 |
Recommendation Status | Closed |
Significant Recommendation | No |
Recommendation Questioned Costs | $0 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
---|---|
Linked Report |