CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.
This week’s Medicare updates include billing and coding updates for COVID-19 booster shots, new items on the OIG Work Plan, a proposed decision memo on an NCD for Transvenous (Catheter) Pulmonary Embolectomy, and more!
This week's Medicare updates include a proposed rule rescinding the Most Favored Nation model, information on payments for COVID-19 vaccine booster shots, an OIG review of chronic care management services, and more!
Understanding how condition codes 44 and W2 affect reimbursement and workflows in various scenarios is key to knowing when and how to use them most effectively. Apply expert advice to create appropriate processes at your organization.
This week’s Medicare updates include the FY 2022 IPPS Final Rule, an updated file of the list of lab tests subject to exceptions from the lab date of service policy, a transmittal for the updated hospice payment rates, and more!
The government has brought numerous criminal cases against case managers for violating the Anti-Kickback Statute. Find out the details of these cases and how your organization can avoid violations.
