According to a report issued by the Department of Health & Human Services, the Office of the Inspector General reviewed a case involving University of Pittsburgh Medical Center Presbytarian Shadyside (the University). The final report is entitled Review of Medicare Acute Care Inpatient Same-Day Readmissions at University of Pittsburgh Medical Center Presbytarian Shadyside Hospital. The full report can be found at http://oig.hhs.gov/oas/reports/region3/31000013.pdf.
Title XVIII of the Social Security Act established the Medicare program, which provides health insurance cove rage to people aged 65 and over, people with disabilities, and people with end-stage renal disease. Medicare Part A provides inpatient hospital insurance benefits and coverage of extended care services for patients who have been discharged from the hospital.
Section 1886(d) of the Act established the prospective payment system (PPS) for inpatient hospital services. Under the PPS, The Centers for Medicare and Medicaid Services pays hospital costs at predetermined rates for patient discharges.