OIG Finds 1 in 4 SNF Claims Billed Incorrectly

November 15, 2012
Rick Gawenda

The Office of the Inspector General (OIG) released a report on November 9, 2012 that reveals SNFs billed one-quarter of all claims in error in 2009, resulting in $1.5 billion in inappropriate Medicare payments. The majority of the claims in error were upcoded; many of these claims were for ultrahigh therapy. The remaining claims in error were downcoded or did not meet Medicare coverage requirements. To read the full report from the OIG, click…

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