tci Medicare Compliance & Reimbursement - 2004 Issue 2

Rehab: CARDIAC REHAB AUDIT SHOWS PROVIDERS SKIPPING A BEAT

What all rehab provider types can learn from outpatient cardiac mistakes.  Outpatient cardiac rehab providers have fallen under the HHS Office of Inspector General's microscope - and four billing hotspots have emerged that could easily burn all rehab providers.Redding Medical Center in Redding, CA was at the center of a landmark $54 million settlement involving the alleged performance of medically unnecessary invasive heart procedures and soon will be sold to an unrelated third party under terms acceptable to the OIG. But the facility is also one of many hospitals scrutinized in a recent round of the watchdog...

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