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DRG Window AuditorTM Software

Comply with the Medicare DRG 3-Day Window

CMS has finalized new “Overpayment Rules” that have given rise to “Reverse False Claim” liability. The False Claims Act now contains new “Overpayment Rules” that stipulate refunding of any overpayment should occur within 60 days.

What it is

MedCom’s DRG Window Auditor Software is designed to provide hospitals with an immunity provision when complying with the 72-hour (or the “three-day-window”) rule. MedCom’s DRG Window Auditor Software imports each Medicare remittance advice and provides a daily report of any possible outpatient overpayments that are related to an inpatient claim and meet the three-day rule.

Why use it?

Regional owned hospitals are viewed in total when examing the patient population. By using DRG Window Auditor system, all the owned hospitals are protected.

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