RevCycle Intelligence February 26, 2021
The number of inpatient stays billed at the highest severity level increased by nearly 20% from FY 2014 to FY 2019, suggesting a need for additional oversight, OIG reported.
A new report from the HHS Office of the Inspector General (OIG) has shown that hospitals have increasingly billed inpatient stays at the highest severity level, causing concern about Medicare spending.
The report analyzed paid Medicare Part A claims for inpatient stays from fiscal years 2014 through 2019. The claims data showed a nearly 20 percent increase in the number of inpatient stays at the highest—and most expensive—severity level during the period, while the number of stays billed at each of the other severity levels decreased.
Ultimately, high-severity hospital stays accounted...
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