This week’s Medicare updates include an article for health care professionals to use as a resource throughout the 2019-20 flu season, an OIG data brief on using CERT data to identify high-risk home health agencies, revisions to the Claims Processing Manual regarding billing for Part B inpatient services, and more!
As Medicare Advantage makes strides to becoming the new norm, organizations need to establish new processes, educate staff, and advocate for patients. Learn how your organization can keep pace with change before it’s too late to catch up.
Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, is disputing an Office of Inspector General (OIG) report that estimated the group received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.
This week’s Medicare updates include information on Hurricane Dorian waivers for Florida, the Carolinas, and Georgia; a final rule on provider enrollment changes aimed at minimizing the risk of fraudulent practices; the October update of the ambulatory surgical center payment system, and more!
Q: How should we handle canceled inpatient-only procedures? Are these are still coded to the full intended procedure under OPPS and modified with a -73 or -74 modifier? Most of these cases result in changed orders to outpatient due to the patient being discharged the same day. Can the original inpatient order be used?
