Popular perception of teams and groups is marked by idioms such as “the more the merrier” and “two heads are better than one,” as well as the idea that the majority rule is the best approach.
On August 14, CMS published the FY2018 Inpatient Prospective Payment System Final Rule; with it came discussion and a notice in regards to the 96-hour certification requirement for critical access hospitals (CAH).
Resolving claims returned with National Correct Coding Initiative edits or Medically Unlikely Edits can be a time-consuming process. Organizations need processes to promote best practices and keep appeals on track, as well as coding and billing policies that address common front-end problems that lead to these edits.
This week's Medicare updates include the Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) Final Rule; an update to Hospice Payment Rates; Proposed Changes to Comprehensive Care for Joint Replacement Model; and more!