Review of Hospital Compliance with Medicare's Transfer Policy with the Resumption of Home Health Services and the Use of Condition Codes (A-04-18-04067)

MLN Matters Number: SE20025
Article Release Date: December 1, 2020

The current Office of Inspector General (OIG) audit, August 2020 Report No. A-04-18-04067, identifies Medicare overpayments to hospitals that did not comply with Medicare's post-acute-care transfer policy (transfer policy). SE 20025 reminds hospitals of proper coding of the patient discharge status code and the use of condition codes 42 and 43.

View the complete CMS Medicare Learning Network (MLN) Matters (SE)20025.


            Last Updated Thu, 03 Dec 2020 15:37:49 +0000