Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.
Although most eligible clinicians who participated in the first reporting year of the Merit-based Incentive Payment System received a positive payment adjustment, even the highest performing clinicians saw only a modest bonus.
Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved through a preauthorization process, according to a recent Office of Inspector General report.
This week’s Medicare updates include final rules for the Outpatient Prospective Payment System, Medicare Physician Fee Schedule. End-Stage Renal Disease Prospective Payment System, and more!
