Tag Archives: kepro

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

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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

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