For a Medicare patient to be eligible for coverage of post-hospital extended care services, they must be an inpatient in a hospital for not less than 3 consecutive calendar days before being discharged from the hospital.
If you’re a compliance professional at a hospital you are probably aware of the series of compliance reviews that the OIG has been performing for many years.
Compliance formed and quickly evolved since the 1980s after the government paid for hammers that were billed at $435 each and $640 toilet seats and fraud was reported for the Department of Defense contractors.
As compliance professionals, many of us are acutely aware of the published Corporate Integrity Agreements (CIA) that the OIG publishes on their website.