tci ED Coding & Reimbursement Alert - 2019 Issue Q3

Reader Question: Are Admits Being Tracked?

Question: We recently had a meeting with hospital administrators where they said we’re admitting an inordinate number of patients to inpatient status and they want to review our records. Why is this an issue? Minnesota Subscriber Answer: Some EDs have been suspected of admitting patients to the hospital without medically necessary reasons in a bid to increase overall hospital billings. In its latest Semiannual Report to Congress, which covers HHS Office of Inspector General (OIG) activity for the reporting period that runs from Oct. 1, 2018 to March 31, 2019, the federal watchdog expects to recover $496 million...

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