Line Item Audits
Does anyone have a great process for appealing and winning line-item audits when the payer says the ancillary charges are part of the room and board and quoting the PRM 2202.6 and 2202.8. Do you have a room/board policy that indicates what is included in your room and board?
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check this out from Valerie Rinkle- https://nahri.org/articles/using-cms-and-nahri-resources-address-charge-denials