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Once a continued stay review is certified, will the same case ever be selected for retrospective post-payment review?

April 26, 2017Case certified continued post-payment retrospective review Selected stay

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Once a continued stay review is certified, will the same case ever be selected for retrospective post-payment review?

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It may be. The case may be selected as part of a retrospective post-payment review sample to review for quality of care, to validate the information provided during concurrent review, and to review for coding accuracy.