Medicare Contractors Are Inappropriately Denying Medicare Payment, Restricting Access To Inpatient Medical Rehabilitation Services

Yikes...inaccurately second guessing doctor's decisions about the patients who would benefit from this care...forcing hospitals through the red tape nightmare...with the appeals process averaging 18 months and the claims are being overturned...indicating non appropriate denying of claims...not that the CMS guidelines might be a little confusing to interpret, but bottom line once more is that the patients are not getting the care...bD

A new study finds that a growing number of inpatient rehabilitation hospitals and units are inappropriately denied Medicare payment for care provided to their patients. A high rate of these payment denials are successfully overturned with findings that the care questioned was in fact medically appropriate. But the administrative red tape required to set things straight drains hospital resources resulting in less funds available for patient care.

The report found that 63 percent of denied bills that had completed the appeals process were overturned resulting in nearly $6 million dollars being returned to hospitals.

New Study Shows Medicare Contractors Are Inappropriately Denying Medicare Payment, Restricting Access To Inpatient Medical Rehabilitation Services