When billing for medical services, there are many regulations to follow to ensure you remain compliant and capable of providing quality care to your patients.
Compliance with the regulation known as the 72-hour rule, or the 3 day rule, is imperative for avoiding overpayment or reverse false claim liability and ensuring compliance with the False Claims Act’s 60 day rule.
Establishing safeguards to flag potential billing errors is critical to sustaining charge practice accuracy.
DRG auditor software maintains compliance by importing Medicare remittance data into your system so that you can see a daily report of any possible outpatient overpayments. Real-time remittance tracking allows you to quickly address any issues that are related to an inpatient claim that meets the 72-hour rule requirements.
Being able to quickly and easily gather this information allows you to examine the entire patient population and address potential errors expediently. When managing several facilities, DRG auditor software also facilitates the monitoring of Medicare payments across various locations. With the right software, you can quickly remedy any overpayments you receive so that you do not end up in legal or financial trouble in the future.