Learn how one multi-hospital health system partnered with McBee resulting in recovering over $152k in additional underpayments and identifying opportunities for discharge status code correction.
Validating where your patients went after hospital transfers and discharges can be a time-consuming in-house search process that affects hospital reimbursement. In this blog, learn more about transfer DRGs under the Medicare PACT Rule, which reduces payments to hospitals that transfer patients to other providers to continue treatment.
The Office of Inspector General (OIG) is reviewing payments under the Post Acute Transfer (PACT) policy again. Why? The OIG wants to ensure claims are properly paid by the MACs with the controls they have put into place through claim editing. The OIGs follow-up will determine whether
