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Inpatient Facility Coding & Compliance Alert

Policy/Reimbursement:

Is the Current Pause of QIO Reviews a Lull Before the Storm?

Published on Wed Jul 20, 2016

Check with the QIOs for your denied claims status before you take to appeals. In a yet another twist of events related to the implementation of two-midnight rule, CMS recently asked the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIOs) to pause conducting the initial short stay reviews of Medicare claims. Read on to know the pros and cons of [...]
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