How Much Could Transfer DRG Underpayments Be Costing You?
Certain Diagnosis-Related Groups—also known as Transfer DRGs—are paid under the Centers for Medicare & Medicaid Services (CMS) Post-Acute Transfer (PACT) rule, which can significantly affect your hospital’s revenue. By transferring patients with short hospital stays to a post-acute care provider for additional care, you may not receive the full DRG payment on those claims. For certain transfer cases, you may miss out on the payments you’ve earned.
BKD has developed a defined methodology for identifying patients not transferred to post-acute care where the Medicare payment was less than what your hospital was entitled to receive. By identifying underpayments, we can help you recoup the earned revenue.