This week's note from the instructor discusses FY 2021 IPPS payment factors that currently determine Medicare reimbursement for acute hospital inpatient services.
Case management directors and their staffs are vigilantly watching the nursing homes in their areas to determine which nursing homes have available beds and which may have no beds at all due to a novel coronavirus (COVID-19) outbreak.
Q: When is it appropriate to report both flash or acute pulmonary edema and acute on chronic heart failure (diastolic, systolic, or other) in ICD-10-CM? What other etiologies lead to flash pulmonary edema and how do I know when to query?
This week's note from the instructor discusses FY 2021 IPPS payment factors that currently determine Medicare reimbursement for acute hospital inpatient services.
Q: Following a breach, many organizations post a breach notification letter to their website. Is there a particular spot on the site that it must be posted? Can the link to the notification letter be posted anywhere on the homepage?
This week’s Medicare updates include information on the reorganization of the Medicare Program Integrity Manual, updates to three provider-specific fact sheets on COVID waivers, the October 2020 update for the Ambulatory Surgical Center PPS, and more!
CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11.
Q: In the 2021 OPPS proposed rule, CMS suggested that there is no longer a need for the inpatient-only list. What could this mean for case managers going forward?
CMS laid the groundwork for a dramatic revision of MS-DRG rate setting in the 2021 Inpatient Prospective Payment System (IPPS). The agency also rolled out code changes and MS-DRG updates. Ensure your organization is compliance with new requirements.
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.
Inova Health System, a nonprofit healthcare provider based out of Merrifield, Virginia, reported a breach on September 9 affecting 1,045,270 individuals, according to the Office for Civil Rights (OCR) breach portal.
The American Medical Association (AMA) on September 8 published two new CPT codes for novel coronavirus (COVID-19)-related services, including one that accounts for additional supplies and clinical staff time used to mitigate spread of the virus.
