Hospital's plan assures correct admission status

March 2008
Hospital Case Management;Mar2008, Vol. 16 Issue 3, p36
The article focuses on a series of proactive steps of Saint Joseph's Hospital in Atlanta, Georgia to correct the problem with Medicare overpayments for short-stay patients, educate staff and assure that InterQual criteria are applied correctly. The hospital agreed in December 2007 to pay $26 million in overpayments and interest for Medicare claims spanning a six-year period. It details how a multilayered process established by the hospital to ensure that patients are placed in the correct admission status works.


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