Comprehensive Outpatient Rehabilitation Facilities: High Medicare Payments in Florida Raise Program Integrity Concerns : Report to the Chairman, Committee on Finance, U.S. Senate
United States Government Accountability Office, 2004 - Ambulatory medical care - 26 pages
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arthritis back disorders beneficiaries who received Centers for Medicare claims administration contractor claims submitted Comprehensive Outpatient Rehabilitation CORF claims CORF facilities CORF patients CORF providers CORF services CORFs continued CORFs operated diagnosis categories facility-based outpatient therapy facility-based providers FCSO Florida claims administration Florida contractor Florida CORFs received Government Accountability Office High Medicare Payments high payments higher than payments hospital OPDs Medicaid Services medical necessity medical review Medicare & Medicaid Medicare beneficiaries Medicare rules metropolitan statistical areas neurologic disorders nontherapy services number of CORF occupational therapy Outpatient Rehabilitation Facilities outpatient therapy providers outpatient therapy services oversight Panama City patients treated payments per patient payments to CORFs payments to Florida per-patient payments percent in 2002 physical therapy physician prepayment review provider types received outpatient therapy received services rehabilitation agencies services from multiple SNF OPDs speech-language pathology treated by CORFs treatment type of outpatient types of facility-based units of therapy