HCPro, JustCoding Inpatient - 2020 Issue 39 (October)
Healthcare News: OIG to audit COVID-19 MS-DRGs
October 13th, 2020
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Article Overview
This article reviews a Medicare inpatient billing and compliance update centered on COVID-19 MS-DRGs. It explains the audit focus, the public health emergency context, and the documentation and test-result requirements that organizations should be aware of when reviewing claims and inpatient records.
Why This Topic Matters
It helps hospital coding, CDI, and compliance teams understand why COVID-19 inpatient claims are under review and what documentation-related issues may draw attention in audits.
What You Will Learn
- The general focus of the OIG Work Plan update related to COVID-19 inpatient claims
- How the public health emergency context affects MS-DRG payment review
- What kinds of documentation and test-result issues are relevant to claim review
- Which hospital teams are implicated in coordinating coding and record review
- Why processes for pending or external test results matter in this context
Who Should Read This
- Inpatient coders
- CDI specialists
- Hospital compliance staff
- Revenue cycle teams
- Clinical documentation staff
- Health information management professionals
Codes Discussed
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