MAC Cracks Down On Long-Stay Patients

June 2012
Eli's Hospice Insider;Jun2012, Vol. 5 Issue 6, pp41
The article discusses the results of two edits of long-stay patients which was revealed by HH&H Medicare Administrative Contractor CGS and informs that Medicare has decided to clamp down on payments for long-stay hospice patients. CGS reports suggest that medical reviewers are getting tougher on long-stay patient claims and denial rates are up from 69 and 73 percent from the year-ago time period.


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