tci Medicare Compliance & Reimbursement - 2004 Issue 34

Hospitals: What's Not Covered On Organ Transplants

Hospitals may have to refund employees' salaries if activities aren't documentedIf a hospital has employees who perform both pre-transplant and post-transplant (or non-transplant) activities, the hospital should make sure their salary gets divided up appropriately.Medicare allows hospitals to bill all organ acquisition costs associated with the organ donor and recipient before a patient's admission to a hospital for the transplant operation. However, according to the Medicare reimbursement manual, only the portion of employees' salaries that relate to time spent on pre-transplant activities may be included as organ acquisition costs on the Medicare cost report.An audit report issued...

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