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Tag Archives: BFCC-QIO
Reminder: BFCC-QIOs have Resumed Two-Midnight Reviews
Given the resumption of BFCC-QIO short-stay reviews, providers should be prepared for BFCC-QIO review of claims that fall within the six-month look back period and were not formally denied. Continue reading
CMS Delays JW Modifier and Tells QIOs to Re-Review Denials
A representative of CMS stated that the July 1 2016 deadline for required use of the JW Modifier to report drug wastage is being moved to January 1 2017, on an Open Door Forum Conference Call, today. A transmittal is forthcoming to confirm the change, they also stated. Continue reading
Posted in Academy Blog
Tagged 2 midnight rule, 2 mn rule, 2mn rule, BFCC-QIO, CMS, jw modifier, odf, QIO, two midnight rule
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CMS issues more details on pause of QIO two-midnight review
CMS has provided additional information on its temporary pause of BFCC-QIO claim audits under the two-midnight inpatient admissions policy. CMS anticipates that QIOs will resume audit activities within 60-90 days. Continue reading
Posted in Industry News
Tagged 2mn rule, BFCC-QIO, CMS, kepro, livanta, QIO, two midnight rule
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CMS Temporarily Pauses Two-Midnight Reviews by QIOs
Reasoning Unclear, Time-frame Indeterminate Audits of Medicare claims concerning the Two-Midnight Rule are temporarily suspended by CMS, to allow CMS to collaborate with the two BFCC-QIO contractors, Livanta and KEPRO, “to ensure consistency in how the rule is applied to … Continue reading
Posted in Academy Blog
Tagged 2mn rule, BFCC-QIO, CMS, cms rac, healthcare audit, kepro, livanta, medical audit, medicare audit, QIO, two midnight rule
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KEPRO Two-Midnight Short-Stay Reviews Kick-off Webinar
Below is our recording of the KEPRO Two-Midnight Short-Stay Reviews Kick-off Webinar, recorded live on Wednesday, September 29, 2015. The PDF of the slide deck is available here.
