Post-Acute Care Transfers: Bill Correctly

In a recent report, the Office of Inspector General (OIG) found Medicare improperly paid inpatient claims subject to the transfer policy. Many hospitals didn’t properly code inpatient claims as a discharge to home when patients resumed home health services within 3 days of discharge. Read the Review of Hospital Compliance with Medicare's Transfer Policy with the Resumption of Home Health Services & Other Information on Patient Discharge Status Codes (PDF) MLN Matters Article to bill correctly.

Visit the Fiscal Year 2021 Inpatient Prospective Payment System (IPPS) Final Rule webpage to stay up to date on the latest policy changes and payment updates. Learn more about:

• Adjustment bills involving time limitations for filing claims: section 130.1.1 of the Medicare Claims Processing Manual, Chapter 1
• Transfers between IPPS Hospitals: section 20.1.2.4 of the Medicare Claims Processing Manual, Chapter 3
• Decisions and determinations regarding claim reopening and revision: Medicare Claims Processing Manual, Chapter 34