tci Medicare Compliance & Reimbursement - 2003 Issue 15

Long-Term Care: SNFs FACE ELIGIBILITY SCRUTINY

Skilled nursing facilities across the country could soon be asked to hand back Medicare dollars they've already been paid. In a quartet of recent audit reports, the HHS Office of Inspector General notes that Medicare contractors United Government Services, Admin-aStar, CareFirst of Maryland and Palmetto GBA overpaid SNFs for residents who weren't eligible for payment. In particular, the contractors paid SNFs without verifying that residents had a qualifying three-day hospital stay preceding the SNF admission. Some contractors point out that verifying the 3-day stay is difficult, if not impossible - a fact that is only likely to draw down...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.