IRFs: Heads Up--OIG Is Scrutinizing Your Transfer, Discharge Billings

Article Overview

This article covers an OIG audit of inpatient rehabilitation facility billing under Medicare’s transfer policy and describes a fiscal intermediary’s response to identified claim status errors. It is relevant to hospital and rehab facility coders, billers, compliance staff, and revenue cycle professionals who monitor inpatient claims, patient status coding, and payment adjustment activity. The article provides a high-level discussion of the audit findings, the type of billing pattern reviewed, and the intermediary’s plan for correcting improperly billed claims.