tci Medicare Compliance & Reimbursement - 2015 Issue 20

Reimbursement: Get the Lowdown on the 2-Midnight Rule

Safeguard your facility from RAC audits. If patients receiving identical services are listed differently as inpatients or outpatients in different hospitals, the HHS Office of the Inspector-General (OIG) is sure to take notice — and it did. The OIG has raised an alarm on this issue. That, plus compliance with the two-midnight rule are favorite audit areas of the Recovery Audit Contractors (RACs). Read on to learn how to tackle these issues. The issue: In an OIG Report “Hospitals’ Use of Observation Stays and Short Inpatient Stays for Medicare Beneficiaries” (OEI-02-12-00040, July 2013), the OIG found that the...

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