Case Study
TRANSFER DRG - An Intermittent Review
155 N Michigan Ave, Suite 707 Chicago, IL 60601 Phone: 312.729.5457 info@medidal.com | medidal.com TRANSFER DRG An Intermittent Review CASE STUDIES IN EFFICACY UNDERPAYMENT RECOVERY Copyright © Medidal 2014. All rights reserved.TRANSFER DRG An Intermittent Review OVERVIEW Medicare underpayments occur when a patient is discharged as a “transfer,” but there is no post-acute care (PAC) billing. This often happens when a patient decides to forego the recommended PAC after discharge. Accurate transfer coding at the time of discharge is difficult, if not impossible, as it requires that the discharge staf f know what the patient will do in the future--not merely what the patient is advised- or intends to do. Unless a specific underpayment audit is conducted for these cases, the revenue l