Touro Rehabilitation Center, New Orleans, may have to repay Medicare $3.3 million for excess outlier payments in 2002, according to an audit by HHS inspector generals office. The audit of outlier claims for inpatient rehabilitation services found problems with 69 of the 100 claims sampled, including 44 claims that the office said werent for medically necessary services, 21 claims that it said werent reasonable and four that it said werent adequately documented. The inspector generals office recommended that the rehabilitation center repay the money and work with its fiscal intermediary to identify and refund overpayments for subsequent years. The center, which operates about 50 beds within Touro Infirmary, will appeal the findings, said Leslie Hirsch, president and chief executive officer at the infirmary. The audit was part of an ongoing nationwide review of outlier payments to rehab centers begun in 2004, a spokeswoman for the inspector generals office said. -- by Jessica Zigmond
Audit questions outlier payments to La. rehab center
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