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103502 1 (1977-09-09)

handle is hein.gao/gaobadxvq0001 and id is 1 raw text is: 



DCCUMENT RESUME


035')2 - [A2593739]

Review of John J. Kane Hospital: A County Nursing Home in
Pittsburgh, Pennsylvania. Septe:ber 9, 1977. 7 pp.

Testimony before the Senate Special Committee on Aging; by
Gregory J. Ahart, Director, Human Resources Div.

Issue Area: Health Programs: Health Paci2ities (1203).
Contact: Hunan Resources Div.
Budget Function: Health: Nursing Homes (557).
Crganizaticn Concerned: John J. Kane Hospital, Pittsburgh, PA;
    Pennsylvania.
Congressional Relevance: Senate Special Committee on Aging.

         The management of patients' funds at Kane Nursing Home
included the practice of charging to patient funds for services
that should have been paid by Medicare and Medicaid. Erroneous
charges were also made to patients' funds for facility-based
physician services and laboratory and x-ray services that could
have amounted to as much as $600,000 from 1972 through 1974. In
April 1970, Kane began investing patients' personal funds in
interest bearing savings certificates. A comparison was made of
Medicare anI Medicaid audited reports for 1972-1974. in addition
to ci.drges nade to Medicare Part B, Kane also charged Medicaid
for the costs of the same facility-based physician services and
x-ray and laboratory services. The true overpayment was the
Federal share of the overcharges, or about $655,000, which was
in addition to the erroneous charges to patients' funds. A check
on staffing practices revealed that seven pait-time doctors were
receiving lergth-cf-service credit for the -ounty retirement
system as if they were full-timc employees. Also, the number of
general care nursing hours available to Kane patients during
February 1976 did not meet minimum State requirements. No
evidence was found of coercion in obtaining contributions from
patientE' families, but it did not appear that Kane adequately
explained that contr'!utions were volitary. (SW)

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