This week's note from the instructor is the first in a two-part series that discusses the intricacies of Medicare's inpatient hospital lifetime reserve days benefit and the challenges associated with it.
This week’s Medicare updates include a proposed decision memo on coverage for CAR T-Cell therapy, an updated OIG work plan, the announcement of a new emergency services payment model, and more!
CMS is seeking comments on a proposed coverage with evidence development for chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or refractory cancer when prescribed by the treating oncologist.
A financial assessment may be time-consuming and difficult, as many patients are reluctant to inform the case manager of the financial risks they face, but it is critical to assisting patients meet the most basic of needs.
A retrospective study recently published in Pediatrics found that a statewide administrative database containing billing and coding information for newborn discharges accurately captured risk factors and outcomes for perinatal patients. This suggests that administrative databases may be effectively used to analyze performance metrics and accelerate data quality improvement efforts locally.
Not only does your organization need appropriate policies and procedures in place to comply with HIPAA, you also need to make sure that staff members follow those policies and procedures. It’s not an easy task, and each organization has its own way of auditing compliance.
A recent study published in Healh Affairs claims that reductions in readmission rates reported as due to the Hospital Readmissions Reduction Program (HRRP) are “illusory or overstated.”
Q: A physician performs a hemiarthroplasty for a hip fracture. Would this procedure be reported with CPT code 27125 (hemiarthroplasty, hip, partial [e.g., femoral stem prosthesis, bipolar arthroplasty])?
This week's note from the instructor is the first in a two-part series that discusses the intricacies of Medicare's inpatient hospital lifetime reserve days benefit and the challenges associated with it.
