CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.
Today, case managers and social workers have become cross-trained in many areas, creating ambiguity about the distinctive education they must use to support patients in different ways. A scoping exercise can serve as an objective way to determine team roles.
Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?
Facilities need to know how to respond to documentation requests as part of any Medicare audit or review. Preparing a complete and proper reply makes all the difference in the outcome or results of those audits and reviews.
