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Advising the Congress on Medicare issues
MedPAC > Recommendations > Hospital short-stay policy issues (1)

Hospital short-stay policy issues (1)

June 15, 2015

The Secretary should:

  • direct recovery audit contractors (RACs) to focus reviews of short inpatient stays on hospitals with the highest rates of this type of stay,
  • modify each RAC’s contingency fees to be based, in part, on its claim denial overturn rate,
  • ensure that the RAC look-back period is shorter than the Medicare rebilling period for short inpatient stays, and
  • withdraw the “two-midnight” rule.

Topics: Hospital.