Medicare Compliance & Reimbursement

Reimbursement:

MAC Overpays Hospitals For Post-Acute Transfers

Glitchy edit missed DRG prorates. Edits designed to catch transfers from hospitals to home care haven’t been working properly. Background: Under Medicare’s post acute transfer policy, hospitals’ DRG payments get prorated if they discharge a patient to home care before the median length of stay. The patient must go to home care within three days of discharge to trigger the [...]
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