tci Medicare Compliance & Reimbursement - 2013 Issue 2

Compliance: Incorrect Reporting Could Be One Of Your Costliest Mistakes

The three-day payment window applies if the hospital wholly owns or operates the practice. You need to be certain that your facility’s compliant with the changes to the three-day payment window which Medicare implemented in 2012. If you want to ascertain whether or not you’re handling the situation correctly, read on. The basics: If a Medicare patient has services furnished in a facility wholly owned or operated by a hospital and then gets admitted to that hospital within the three-day window, those prior services may be required to be bundled into the patient’s hospital stay. There...

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