FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients

MLN Matters Number: SE20024
Article Release Date: December 3, 2020

SE 20024 further explains the billing procedures and provides additional resources to avoid incorrect billing for outpatient services within 3 days before date of admission and on the date of admission. This is in response to an Office of Inspector General (OIG) May 2020 report, Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays. Make sure that your billing staffs are aware of this information to avoid billing errors that may lead to overpayments.

View the complete CMS Medicare Learning Network (MLN) Matters (SE)20024.

 

            Last Updated Fri, 04 Dec 2020 14:27:03 +0000