Reservation Hospital Pulled From Federal Medicare Program

PINE RIDGE, S.D. (AP) – Recent documents show that the government’s decision to cut off Medicare and Medicaid payments to an Indian Health Service hospital in South Dakota was motivated by the case of a patient who the government says died after an inaccurate assessment.

A review by the Centers for Medicare and Medicaid Services says Pine Ridge Hospital inaccurately determined the severity of a patient’s condition, which led to delays in appropriate care and his death.

The department said Friday that the hospital’s participation in the federal Medicare program will end Nov. 18. The hospital won’t be able to bill the government for services provided to Medicare-enrolled patients. Medicaid payments will also be cut off.

A hospital official says the department’s review omitted significant details from the case.

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