MAC settles long-running inpatient billing debate
Recovery Auditor Report, May 19, 2011
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
Editor's note: This article originally appeared on the Case Management Mentor blog.
Noridian Administrative Services LLC, Medicare administrative contractor (MAC) for Montana, North Dakota, South Dakota, Colorado, Utah, and Arizona, has put to rest the question of how hospitals should bill for patients who are improperly referred for observation services when they actually met inpatient criteria.
Noridian provided the answer as part of a list of inappropriate admission orders in a May 6 announcement. The example is as follows:
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
Related Products
-
2010 RAC Track: Medicare Compliance Forum Audio Recording
On-demand audio recordings of the RAC track of HCPro Revenue Cycle Institute's popular Medicare Compliance Forum, held May...
-
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
-
Mastering the Three-Day Payment Window
During this 90 minute audio conference our expert speaker, Kimberly Anderwood Hoy provides a brief history of the rule...
-
Outpatient, Observation, or Inpatient?
Attend the half-day seminar, Outpatient, Observation or Inpatient? Walking the Tightrope of Regulatory Guidance, September...
-
2010 Observation Services Track:
On-demand audio recordings of the Observation Services track of HCPro Revenue Cycle Institute's popular Medicare Compliance...
Most Popular
- Articles
-
- HIPAA Q&A: Answering service messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Coding for dry skin due to cold weather
- Q/A: Volume requirement for reporting hydration services
- Are your workforce members texting PHI?
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Privacy, security concerns high in HIEs
- Catch up on what's new with injections and infusions
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: Answering service messages
- Q&A: Coding for sepsis when other conditions are present
- HIPAA Q&A: TPO disclosures to a business associate
- Are your workforce members texting PHI?
- Q&A: Coding for dry skin due to cold weather
- What does case-mix index mean to you?
- Don't let these sentinel events trigger falsely
- Searched