This week's note from the instructor outlines the possible payment pitfalls of a coding clarification CMS included in the July 2018 update to the Outpatient Prospective Payment System.
When evaluating a code edit, it’s necessary to understand exactly when or where in the claim or billing process the edit arose. Look to coding guidance to help edit resolution efforts.
CMS plans to rebrand the Meaningful Use program as “Promoting Interoperability.” In a fact sheet, the agency said that the proposed changes outlined in the IPPS rule are meant to improve the use of EHRs and make it easier for providers to spend time with their patients.
This week’s Medicare updates include the release of the 2019 ICD-10-CM code set, numerous updates to the OIG Work Plan, a fact sheet detailing how CMS determines qualifying APM status in the Quality Payment Program, and more!
In a continued effort to combat the opioid epidemic, CMS released a roadmap detailing its progress toward addressing the crisis as well as its plans for slowing opioid dependence. CMS noted that while the latest Centers for Disease Control and Prevention statistics indicate the opioid epidemic is not slowing down, efforts aimed at combatting the epidemic must continue.
CMS issued change request (CR) 10778 on June 15, with an effective date of July 17, to update Chapter 12 of the Medicare Program Integrity Manual. The proposed update includes details for handling non-responders and insufficient responses to additional documentation requests (ADR) under the Comprehensive Error Rate Testing (CERT) program.
Q: I am confused about the difference between the laterality modifiers -LT (left side) and -RT (right side) and modifier -50 (bilateral procedure). Can you explain?
Does your performance under the HRRP truly reflect the quality of care at your organization? There can be vast differences in 30-day hospital readmission rates for patients and conditions studied under the Medicare program, compared to other patients at an organization.
HIPAA requires covered entities to protect and confidentially handle patients’ protected health information. Organizations must remain vigilant or they risk violating HIPAA
