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Hospital Claims for Severe Malnutrition under Scrutiny


In January 2018, the Office of the Inspector General (OIG) announced inclusion in its Work Plan a new project to assess the accuracy of Medicare payments for the treatment of severe malnutrition. These claims are coming under scrutiny since a diagnosis of severe malnutrition on a claim substantially increases the hospital's reimbursement from Medicare as it is classified as a major complication or comorbidity (MCC).

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