Health Information Management

OIG questions short-stay outlier trends for LTCHs

Briefings on Coding Compliance Strategies, June 1, 2008

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According to a report the Office of Inspector General (OIG) issued in late March, short-stay outliers for long-term care hospitals (LTCH) steadily declined between fiscal years (FY) 2003–2006. The decline coincides with CMS’ implementation of a reduction in the payment amounts for these stays. Given the OIG’s focus on these short stays, as well as the attention recovery audit contractors are giving this matter, LTCHs need to ensure they are taking the appropriate steps to maintain compliance.

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