tci Medicare Compliance & Reimbursement - 2005 Issue 3

Rehab: Interrupted Stays, Transfers Foiling Rehab Audits

CMS' three-day 'window' can make or break rehab facilities' billing.The HHS Office of Inspector General's 2005 Work Plan singles out interrupted stays as a top target area for inpatient rehab facilities. IRFs will need to keep a close eye on screening and discharge practices and will need to input the right patient status codes to keep the OIG out of their hair in the coming year.Here are the basics on CMS' definition of interrupted stays and transfers in IRFs:An IRF interrupted stay is when "a Medicare inpatient is discharged from the IRF and returns to the same...

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