OIG zeroes in on outpatient cardiac rehab -- again
Compliance Monitor, February 11, 2004
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The Office of the Inspector General (OIG) recently found holes in outpatient cardiac rehabilitation services documentation at Morton Plant Hospital, Clearwater FL.
The OIG audited the facility to be sure it was properly reimbursed by Medicare, but it didn't find any documentation to support physician supervision during exercise sessions.
According to the report, the OIG didn't find sufficient evidence in the medical records to indicate that the cardiac rehab services were provided "incident to" the medical director's professional services.
The OIG, from its claims review for 30 sampled beneficiaries who received outpatient cardiac rehabilitation services during 2001, determined that the hospital received Medicare payments of $4,426 for services provided to beneficiaries where medical documentation may not have supported Medicare covered diagnoses and for services not otherwise allowable.
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