Corporate Compliance

Note: Reviewing the three-day rule

Medicare Insider, March 9, 2010

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Editor’s note: Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

Last week during the CMS Hospital Open Door Forum, CMS responded to requests for clarification on whether non-diagnostic services that are unrelated to the inpatient admission must be billed separately as outpatient services. To understand the implications of the CMS representative’s response, let’s look at the differences between diagnostic and non-diagnostic outpatient services and related vs. unrelated to the inpatient admission.

Continue reading Debbie Mackaman's note.



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