tci Medicare Compliance & Reimbursement - 2004 Issue 16

LONG-TERM CARE: Florida Homes Under Quality-Of-Care Scrutiny

Sanctioned facilities should beware of pocketing payments for new admitsIs improper Medicaid funding still being tapped despite a denial of payment remedy? The HHS Office of Inspector General took a gander Feb. 27 at sanctioned facilities in the Sunshine State and says it wants a tighter hand on the controls. An audit of 100 sanctioned homes did reveal that the mandatory denial of payment remedy, which is imposed on homes that run afoul of quality of care standards, was in good shape - 31 homes were still on the receiving end of $99,957 in unallowable Medicaid payments...

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