Medicare denials

[oliverbourgeois]

Can the fact that a hospital had received repetitive Medicare denials (e.g. repetitive elective services not meeting medical necessity and ABN's were not issued,  repetitive inpatient only procedures performed as outpatients, multiple screening exams exceeding the designated limits [FOBT, Prostate Screenings, Screening Mammographies], procedure code inconsistent with modifier used or missing) be used as evidence that the provider was aware of these issues and did not take the appropriate corrective actions?