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  • IPPS Transfer Claims Classified To MS-DRG 385
  • Post author
    Lacy Gaskins

IPPS Transfer Claims Classified To MS-DRG 385

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) follow various protocols for review codes and utilize corrections to the payment of Inpatient Prospective Payment System (IPPS) transfer claims that are classified to MS-DRG 385 from full IPPS payment to a per diem transfer payment.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1870OTN.pdf

Subject: Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims

Number: 1870

Title: 10145

Release Date: July 27, 2017

Effective Date: January 1, 2018

Implementation Date: January 2, 2018

Special Notes: N/A

 

  • Post author
    Lacy Gaskins