This week's note from the instructor discusses a new OIG review of CMS payments for device credits in light of an apparent conflict between regulatory text and manual guidance.
The 2021 Inpatient Prospective Payment System (IPPS) final rule ushered in a host of coding changes. Review new codes, MS-DRG updates, and other changes to ensure your organization is in compliance.
This week’s Medicare updates include the End Stage Renal Disease Prospective Payment System final rule, an update to home health provisions in the Benefit Policy Manual to implement elements of the CARES Act, an OIG report on device credits, and more!
Q: For the purposes of determining a Medicare overpayment, should claims that we are uncertain whether they were appropriate be included? Is this defined under the False Claims Act (FCA)?
