tci Medicare Compliance & Reimbursement - 2004 Issue 19

Program Transmittal Roundup

The HHS Office of Inspector General and the Centers for Medicare & Medicaid Services have been hounding hospitals to beef up compliance on patient status codes for patients who are discharged to post-acute settings. And according to a recent program transmittal (change request 3240), hospitals can soon look forward to word from their fiscal intermediaries that changing a patient status code to indicate a transfer won't get them into hot water with the OIG, even if the change doesn't jibe with the hospital's medical records. The transmittal says CMS will soon issue a related article on its Web...

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