In a reversal of fortune, some hospitals will recover the difference between MS-DRG payments and per diem payments in connection with post-acute care transfer (PACT) payment policy errors. Some MACs recently sent hospitals demand letters^[1] for the full MS-DRG payments, which is more money than they owe, compliance professionals and physician advisors said. But now at least one Medicare administrative contractor (MAC) has changed course. Palmetto GBA said Feb. 7 on its website^[2] that “it’s re-adjusting all claims previously rejected with the appropriate discharge status code. These claims will be 11K type of bills and reimburse per diem. We anticipate completion in no more than 30 days. No provider action is required.”