Transfer DRG Resource Guide

With thousands of Medicare patients discharged to post-acute care facilities annually, hospitals need to identify claims that failed to transfer under Medicare’s Post-Acute Care Transfer rules.

These claims are subject to reduced payments if a patient is discharged as a transfer but doesn’t receive planned post-transfer acute care—a scenario that puts hospitals and health systems at risk for underpayments. While most hospitals work to recover Transfer DRG underpayments, they likely aren’t capturing 100% of them, resulting in significant unrecovered revenue.

In this white paper, we discuss the state of Transfer DRGs today and share ways to identify and recover underpayments while minimizing costs including:

• Understanding Medicare Transfer DRGs
• Identifying and recovering Transfer DRG underpaymens while minimizing costs
• Exploring recovery options + asking vendors the right questions