tci Medicare Compliance & Reimbursement - 2003 Issue 15

Hospitals: OUTLIER BLUNDERS GO BOTH WAYS

Hospitals face ever-mounting attention on Medicare outlier payments - and are bracing for a new rule on the subject that industry associations fear will devastate some facilities. But while some hospitals are surely gaming the system to boost their reimbursement, in most cases outlier errors end up producing both overpayments and underpayments. The recent HHS Office of Inspector General report "Review of Outlier Payments Made to the Baystate Medical Center Under the Outpatient Prospective Payments System For The Period August 1, 2000 Through June 30, 2001" (A-01-02-00528) makes the point. While the OIG found errors in 37 of the...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.