Gov't audit insider 2/10/04: Morton Plant Hospital in the OIG's cardiac rehab hot seat.
Healthcare Auditing Weekly, February 10, 2004
It's Morton Plant Hospital's (FL) turn to prove to the Office of Inspector General (OIG) that its outpatient cardiac rehabilitation "incident to" services meet all the necessary requirements. The OIG examined the hospital's physician supervision policies and procedures, verified that personnel were qualified, and examined the accuracy of reimbursements to the hospital for outpatient cardiac rehab services.
During the audit, the OIG reviewed many of the rehab program's medical records to find whether services were provided "incident to." The auditors also sampled 30 Medicare beneficiary claims and compared each beneficiary's paid claims and lines of service to the hospital's documentation.
Other documentation the OIG focused on includes
Solid documentation is often the key to surviving an OIG review, and substantiating your "incident to" services. The OIG found no supporting documentation for the "incident to" services at Morton Plant, and recommends the hospital implement controls to improve its documentation of cardiac rehabilitation services.
Audit reports on cardiac rehabilitation services will continue through March, says an OIG public affairs spokeswoman. Look for a report-including recommendations from Medicare officials-sometime this summer.
Click here to view the audit report called "Review of outpatient cardiac rehabilitation services at Morton Plant Hospital."
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