tci Medicare Compliance & Reimbursement - 2003 Issue 32

THREE-DAY INPATIENT STAY RULE VEXES SNFs, FEDS

The OIG thinks nursing homes are bungling hospital stay dataSkilled nursing facilities whose staffers don't enter accurate hospital stay data on their Medicare claims will likely end up facing overpayment demands down the road. The HHS Office of Inspector General has its eye on the issue, and is hunting for errors at a number of Medicare contractors. In its latest review, "Ineligible Medicare Payments to Skilled Nursing Facilities Under the Administrative Responsibility of Veritus Medicare Services" (A-05-03-00035), the watchdog agency estimates that Medicare paid more than $6.3 million worth of overpayments that ought to be recovered. The errors...

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