AGG Convinces CMS That Fiscal Intermediaries Must Adjust Handling of Hospital Inpatient Transfer DRGs

Arnall Golden Gregory was instrumental in efforts to resolve the manner in which numerous Medicare fiscal intermediaries have improperly responded to attempts by hospitals to adjust erroneous MS-DRGs (medical severity diagnostic related group codes) related to inpatient transfers for post-acute care. The Medicare transfer payment rule, which has been in place since 1999, reduces the reimbursement due to a discharging hospital when the patient is transferred to a post-acute setting with one of 273 MS-DRGs where the patient’s length of stay is more than 1 day less than the geometric length of stay for that DRG.


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