tci Medicare Compliance & Reimbursement - 2015 Issue 2

Reimbursement: Let Not the Lure of Lucre Influence Your Decision

Appropriateness of one day stays under federal scrutiny. Are you admitting patients who could be treated in outpatient? The ambiguity of criteria for inpatient admission is attracting federal attention. The Medicare Payment Advisory Commission (MedPAC) discussed hospital short-stay policy and other issues in a meeting Nov. 7, 2014. MedPAC also discussed the policy options to sort the issues. Background: Medicare beneficiaries may receive care in various hospital settings, such as an inpatient hospital stay or through a visit to an outpatient department, depending on the severity and type of illness or injury. Inpatient and outpatient care are reimbursed using...

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