FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients


This article further explains the billing procedures and provides additional resources to avoid incorrect billing for outpatient services within three days before date of admission and on the date of admission. This is in response to an Office of Inspector General (OIG) May 2020 report, Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays.




Last Updated: 12/04/2020