The Office of Inspector General (OIG) will be taking a closer look at payments for inpatient claims subject to CMS’ post-acute transfer policy, according to a recent update to the OIG work plan.
Q: We're seeing an increase in the volume of medical record requests from external auditors. How can we ensure that the information in the records is accurate, timely, and available to meet auditors' demands?
It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.