Hospitals


Access CMS-level guidance for hospitals through the following links:




Quality Improvement Organization (QIO) DenialsObservation CareDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Reporting Multiple Outpatient Visits that Occur the Same DayPartial Hospitalization Programs (PHPs) Module340B Drug Program Reimbursement CalculatorPatient Discharge Status Codes and Hospital Transfers ModuleCracking Condition Code 44 Computer-Based TrainingIntensity-Modulated Radiation Therapy ModuleDiagnosis Related Group (DRG) 470 ModuleHospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemBeneficiary and Family Centered Care Quality Improvement Organizations (QIO) Two-Midnight (2M<) Short Stay Review (SSR) DeterminationsPart A Outpatient Date of Service Reporting and Split BillingExtension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey SubmissionDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure ReportingMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)Inpatient Rehabilitation Facility (IRF) ResourcesHospital Low Volume AdjustmentHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingOffice of the Inspector General (OIG) Post-Acute Care Transfer (PACT) Policy Audit Questions and AnswersCounting Units for Therapy CodesPart A Inpatient Date of Service Reporting and Split BillingTop Five Errors Identified During Medicare Secondary Payer (MSP) Hospital AuditsEsophagitis, Gastroenteritis and Miscellaneous Digestive DisordersAmbulance Fee Schedule and Medicare Transports CMS BookletUtilization of Lifetime Reserve Days ModuleA/B Rebilling ModuleIPPS Billing for Cost Outlier Module

Last Updated: 01/01/2020