HCPro, JustCoding Inpatient - 2020 Issue 45 (November)
Healthcare News: OIG to audit for incorrectly billed short-stay inpatient admissions
November 23rd, 2020
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Article Overview
This article covers an OIG announcement about planned audits of hospital inpatient claims involving short lengths of stay and the broader review of compliance with the 2-midnight rule. It is relevant to hospital coders, compliance teams, revenue cycle staff, and auditors who monitor inpatient versus outpatient billing practices and payer review activity. The piece summarizes the audit focus, the administrative and contractor-level policy review, and the expected timing of the report.
Why This Topic Matters
Hospitals and billing teams need to track OIG audit priorities because short-stay admissions can affect claim status, payment integrity, and overpayment risk. Understanding the scope of the audit helps organizations prepare internal reviews and compliance processes.
What You Will Learn
- What the OIG plans to review in its inpatient claim audits
- How short hospital stays relate to inpatient and outpatient claim oversight
- Why compliance with the 2-midnight rule is relevant to hospital billing reviews
- What organizations may need to monitor in response to renewed audit activity
Who Should Read This
- Hospital coders
- Compliance officers
- Revenue cycle managers
- Billing staff
- Healthcare auditors
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