Review of Hospital Compliance with Medicare's Transfer Policy with the Resumption of Home Health Services and the Use of Condition Codes (A-04-18-04067)
The current Office of Inspector General (OIG) audit, August 2020 Report No. A-04-18-04067, https://oig.hhs.gov/oas/reports/region4/41804067.pdf identifies Medicare overpayments to hospitals that did not comply with Medicare's post-acute-care transfer policy (transfer policy). This article reminds hospitals of proper coding of the patient discharge status code and the use of condition codes 42 and 43.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 01, 2020
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