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.
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.
Q: My child’s school requires parents to send a doctor’s note when a student is out sick for more than two days. After providing this note for my child, their teacher spoke to me and mentioned information she could only have learned if she had read the note. Is this a HIPAA violation? Are schools covered by HIPAA if they request doctor's notes?
This week’s Medicare updates include a transmittal implementing the new skilled nursing facility payment model, the introduction of a new app displaying Medicare coverage information, a transmittal about updates to provider enrollment policies, and more!
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors accounted 98.9% of the improper payments, according to CMS.
