tci Medicare Compliance & Reimbursement - 2020 Issue Q4
Industry Notes: OIG Adds Two-Midnight Rule to Work Plan
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Article Overview
This article covers the OIG’s decision to add short-stay inpatient claim audits back into its Work Plan, with attention to CMS policy oversight, Medicare compliance, and review of hospital and contractor procedures. It is relevant to hospital coders, billing staff, compliance teams, and Medicare stakeholders who monitor inpatient admission policy enforcement and audit risk.
Why This Topic Matters
It signals increased audit scrutiny for hospitals and Medicare participants managing short-stay inpatient claims and related compliance processes.
What You Will Learn
- Why the OIG’s Work Plan update is relevant to short-stay inpatient claims.
- What broad areas of Medicare compliance oversight are being revisited.
- Which healthcare stakeholders should pay attention to the renewed audit focus.
- How the article frames the policy and audit environment around inpatient admissions.
Who Should Read This
- Hospital coders
- Inpatient billing staff
- Compliance officers
- Revenue cycle teams
- Healthcare administrators
- Medicare compliance professionals
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