Tag Archives: frank cohen

“Finally Friday!” Extrapolation of Medical Necessity by the OIG

This session was recorded on Friday, June 21, 2013. Today’s show is a walk down into the rabbit hole… the rabbit hole that is Extrapolation…  We look into a case where the OIG uses extrapolation to do some strange estimations … Continue reading

Posted in Finally Friday! | Tagged , , , , , | Leave a comment

CMS Moves The Inpatient Benchmark to 48 Hours

CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading

Posted in Academy Blog | Tagged , , , , , , , , , , | Leave a comment