tci Medicare Compliance & Reimbursement - 2003 Issue 11

Hospitals: WATCH OUT FOR DISCHARGE STATUS CODING

Hospital compliance officers should make sure their staff knows the ropes when it comes to coding transfers and discharges. Although the issue is one of the older compliance watch areas, many hospitals are still struggling with the issue — and the HHS Office of Inspector General is still watching for mistakes. Most recently, an OIG report took the measure of Medicaid transfer/discharge snafus in Indiana. Under federal reimbursement rules, when a hospital transfers a patient to another inpatient setting, the transferring hospital should be paid a per diem rate rather than collecting the full diagnosis related group payment. Transferring...

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