tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Industry Notes: OIG Adds Two-Midnight Rule to Work Plan

If you thought your short-stay inpatient claims were good to go, you’d be wrong. In a stunning turnaround from its previous decision to steer clear of scrutinizing the Centers for Medicare & Medicaid Services (CMS) Two-Midnight Rule, the HHS Office of Inspector General (OIG) has now decided to re-up its audits of the confusing policy. Breakdown: Claiming past issues with overpayments, the federal watchdog added the perennially bewildering claims to its Work Plan. “While OIG previously stated that it would not audit short stays after October 1, 2013, this serves as notification that the OIG will begin...

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