Hospitals


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




Quality Improvement Organization (QIO) DenialsObservation CareReporting Multiple Outpatient Visits that Occur the Same DayDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Hospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)Beneficiary 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 SubmissionHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingInpatient Rehabilitation Facility (IRF) ResourcesHospital Low Volume AdjustmentDiagnosis Related Group (DRG) 470 ModuleIntensity-Modulated Radiation Therapy ModulePatient Discharge Status Codes and Hospital Transfers ModulePartial Hospitalization Programs (PHPs) Module340B Drug Program Reimbursement CalculatorCracking Condition Code 44 Computer Based TrainingDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure ReportingOffice 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 ModuleIPPS Billing for Cost Outlier ModuleA/B Rebilling Module

Last Updated: 12/01/2016