Are you double-checking that your patients being discharged to skilled nursing facilities (SNF) meet the three-day inpatient stay requirement? You might want to take a closer look if you aren’t, in light of a February report from the Office of Inspector General that found CMS paid out potentially millions of dollars for beneficiary stays that didn’t qualify under the rule.
This week's note from the instructor discusses some of the ethical concerns case managers and potentially other types of healthcare professionals may face when utilizing technology such as social media, mobile devices, and electronic health portals.
Q: I’m a benefits administrator, and I got a call from human resources about an email she received from an employee about a procedure performed by her physician that was not covered by her insurance. Can I discuss the case with human resources? Or should I talk directly to the employee?
Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.
This week’s Medicare updates include the Medicare Advantage and Part D rate announcement and final call letter, a fact sheet on the Preclusion List, updates to provider self-disclosure settlements, and more!
