August 29, 2025
Inpatient Hospital Short Stay Reviews
Beginning September 1, 2025, inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities will transition from the Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) to the Medicare Administrative Contractors (MACs).
MACs, like CGS, will perform reviews on a sample of Medicare prepayment Part A claims as part of our current Targeted Probe and Education (TPE) program.
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