All hospitals should be performing a retrospective review of claims potentially impacted by the Post-acute Transfer Rule (PACT). Whether this retrospective review is conducted internally or by an external vendor, the review must be done to ensure that claims are accurate and in accordance with the PACT.
There are mistakes that often occur during retrospective Transfer DRG reviews that can result in compliance concerns for hospitals. This paper explores five common pitfalls associated with these reviews and how to avoid them.
