Outpatient Facility Coding Alert - 2020 Issue 23
Industry Notes: OIG Adds Two-Midnight Rule to Work Plan
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Article Overview
This article covers a recent compliance and audit-development update involving the HHS Office of Inspector General, the Centers for Medicare & Medicaid Services, and Medicare short-stay inpatient claims. It explains that the topic has returned to the OIG Work Plan and notes that hospitals and Medicare Administrative Contractors are among the stakeholders affected. The piece is relevant to inpatient billing, Medicare compliance, audit readiness, and revenue integrity teams monitoring federal oversight activity.
Why This Topic Matters
The change signals renewed federal attention to short-stay inpatient claims and related compliance processes. Organizations that bill Medicare inpatient services may need to monitor audit activity and internal policy alignment.
What You Will Learn
- How the OIG’s Work Plan affects Medicare short-stay inpatient claim oversight
- Which organizations are involved in the policy and audit review
- Why the topic is relevant to hospitals, compliance teams, and Medicare billing stakeholders
- What general areas of operations are being examined in connection with short-stay claims
Who Should Read This
- Hospital coders
- Inpatient billers
- Compliance officers
- Revenue integrity teams
- Health information management professionals
- Medicare audit specialists
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