This week’s Medicare updates include the quarterly update to the clinical laboratory fee schedule, the quarterly update to the ESRD PPS, changes to the manual regarding pneumococcal vaccines, and more!
Coding audits are essential to ensuring compliance but without defined processes these audits may lack focus and consistency. Understand how to create strong processes for targeted, consistent, and accurate coding audits.
This week’s Medicare updates include a proposed rule implementing certain provisions of the Consolidated Appropriations Act of 2021, a final rule for the CY 2023 policy and technical changes to Medicare Advantage and Part D plans, three OIG advisory opinions, and more!
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.
Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, unpacks local and national medical necessity standards and best practices for avoiding denials due to inadequate documentation.
