tci Medicare Compliance & Reimbursement - 2003 Issue 15

Long-Term Care: SNFs FACE ELIGIBILITY SCRUTINY

Skilled nursing facilities across the country could soon be asked to hand back Medicare dollars they've already been paid. In a quartet of recent audit reports, the HHS Office of Inspector General notes that Medicare contractors United Government Services, Admin-aStar, CareFirst of Maryland and Palmetto GBA overpaid SNFs for residents who weren't eligible for payment. In particular, the contractors paid SNFs without verifying that residents had a qualifying three-day hospital stay preceding the SNF admission. Some contractors point out that verifying the 3-day stay is difficult, if not impossible - a fact that is only likely to draw down...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.

Thank you for choosing Find-A-Code, please Sign In to remove ads.