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Medicare More Specific Criteria Needed to Classify Inpatient Rehabilitation Facilities

By Thomas, William M.

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Book Id: WPLBN0000578494
Format Type: PDF eBook
File Size: 778.35 KB
Reproduction Date: 2005
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Title: Medicare More Specific Criteria Needed to Classify Inpatient Rehabilitation Facilities  
Author: Thomas, William M.
Volume:
Language: English
Subject: Government publications, Accountability in government, United States. General Accounting Office
Collections: Government Accountability Integrity Reliability Office Collection
Historic
Publication Date:
Publisher: United States General Accounting Office (GAO)

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Thomas, W. M. (n.d.). Medicare More Specific Criteria Needed to Classify Inpatient Rehabilitation Facilities. Retrieved from http://www.worldebooklibrary.org/


Description
Government Accountability Integrity Reliability Office Collection

Excerpt
Excerpt: In fiscal year 2003, fewer than half of all IRF Medicare patients were admitted for having a condition on the list in the 75 percent rule, and few IRFs admitted at least 75 percent of their patients for one of those conditions. The largest group of patients had orthopedic conditions, not all of which were on the list in the rule, which had been suspended in 2002. Almost half of all patients with conditions not on the list were admitted for orthopedic conditions, and among those the largest group was joint replacement patients. Although some joint replacement patients may need admission to an IRF, GAO?s analysis showed that few of these patients had comorbidities that suggested a possible need for the IRF level of services. Additionally, GAO found that only 6 percent of IRFs in fiscal year 2003 were able to meet a 75 percent threshold.

 

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