An article in the August issue of the Journal of AHIMA walks through the Recovery Audit Contractor “Prepayment Reviews” that Medicare soon will start as a demonstration program.
These audits, initially in 11 states, are in addition to the prospective audits of claims already being routinely done. The prepayment audits will cover short hospital stays of two days or less, as well as longer stays, with a group of eight DRGs being subject to review for short stays, according to the AHIMA article.
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