This week’s Medicare updates include proposed rules for the inpatient psychiatric facility prospective payment system, skilled nursing facility prospective payment system, and the hospice payment rate update.
Q: One of the biggest challenges for case management directors is gaining the physician’s cooperation with documentation as they continue to face high patient volumes. What approaches should be taken to get physicians on the same page as case management directors?
CMS should rescind denials recently issued to certain off-campus provider-based departments (PBD) that applied for the mid-build exception under the 21st Century Cures Act, the AHA said in a March 25 letter to CMS.
Hacking incidents in healthcare increased dramatically as organizations dealt with the novel coronavirus (COVID-19) pandemic throughout 2020, according to a recent report from Protenus, a Baltimore-based healthcare analytics company.
Sunrise Hospital & Medical Center in Winchester, Nevada, submitted Medicare claims for rehabilitative services that did not comply with Medicare billing requirements, resulting in an estimated $23.6 million in overpayments submitted over a two-year period, according to an April Office of Inspector General (OIG) report.
As ransomware attacks and phishing attempts persist in the age of the coronavirus (COVID-19), healthcare organizations have correctly poured many resources into combatting these attacks. However, as always, cybercriminals are finding new ways to access protected health information (PHI).
Q: We have a patient admitted for COVID-19 who is now showing signs of cytokine release syndrome (CRS). Can you give our team more information on symptoms or clinical indicators for CRS as well as any ICD-10-CM coding advice?