Although not recommended, hospitals reimbursed according to diagnostic-related group (DRG) payment methodology may submit an interim claim if the client has been in a facility for:

Question

Quizplus · Accepted Answer

According to the Centers for Medicare and Medicaid Services (CMS), hospitals reimbursed according to DRG payment methodology may submit an interim claim for clients who have been in the facility for 30 days or longer. This is because clients who stay in a hospital for an extended period of time may require additional resources and care, which can impact the hospital's costs. However, it is important to note that submitting an interim claim is not recommended as it can lead to increased audit scrutiny and potential denial of the claim.

Although Not Recommended, Hospitals Reimbursed According to Diagnostic-Related Group (DRG)