Becker's Healthcare September 23, 2022
Oversight changes CMS made in its system to identify patients in inpatient services successfully reduced overpayments made for outpatient services these beneficiaries received, the HHS Office of Inspector General said in an audit.
From 2016 to 2021, the OIG said, Medicare inappropriately paid $39.3 million to post-acute hospitals for beneficiaries who were inpatients of other facilities. These types of facilities must provide all care during an inpatient stay themselves or arrange for outpatient care and include these services in its billing to Medicare....