Results of Inpatient Admit to Skilled Nursing Facility – Ohio

May 27, 2014
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Rick Gawenda
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The J15 Part A Medical Review department performed a service-specific probe review on inpatient services relating to hospital admissions which resulted in admission to skilled nursing facilities, bill type 11X, in Ohio. Although results demonstrated that additional medical review efforts may be indicated, due to a change in the medical review strategy, CGS will not advance this probe edit to ongoing complex review at this time. We may conduct additional reviews related to these services in the future. To read the results of the review, click HERE.


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