We recommend that the Texas Health Presbyterian Hospital Dallas strengthen controls to ensure full compliance with Medicare requirements, specifically: - ensure all IRF beneficiaries meet Medicare criteria for acute inpatient rehabilitation and all required documentation is included in the medical record: - ensure all inpatient beneficiaries meet Medicare criteria for inpatient hospital services; - ensure procedure and diagnosis codes are supported in the medical records and staff are properly trained; and - ensure HCPCS codes are supported in the medical records and staff are properly trained.