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Billing Medicare at the highest rates

Nationally, about 30 percent of nursing home residents needing rehabilitation are put into the five most expensive of the 23 Medicare billing categories. A Washington Post analysis found that some homes have more than 80 percent of their residents in these billing categories. This "upcoding" has drawn the concern of federal regulators. For each county, you can see the number of skilled nursing facilities, the share of patients in these five "ultra-high" billing categories and the average number of stars awarded to the homes by Medicare for overall quality (stars are assigned from a low of one to a high of five).

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SOURCE: Medicare Minimum Data Set of nursing home patient assessments  |  GRAPHIC: Kat Downs and Dan Keating - The Washington Post
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Heightened concerns over Medicare billing
Mar. 29, 2010 | Nursing homes have flooded 'ultra-high' billing categories with patients, and the amount of waste and abuse could reach billions of dollars a year.
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