This week’s Medicare updates include a proposed decision memo for transcatheter aortic valve replacements, clarification on a transmittal regarding evaluation and management coding, an article on edits for OPPS providers with multiple service locations, and more!
The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.
Q: When patients transfer to long-term care or skilled nursing facilities, they have basic information with them, but what questions should those facilities ask to make sure they have all the information they need to provide care?
Centralizing release of information (ROI) functions helped organizations make gains on streamlining the function, according to respondents of HIM Briefings' 2019 ROI benchmark survey.
Hospital coders must develop and adhere to internal E/M coding guidelines and CPT guidance to accurately report visits to the ED. In addition, because ED coding encompasses professional and facility billing, they may need to scour provider documentation to determine the correct E/M service level for both bill types.
Gaps in mobile security remain a threat to your protected health information and leave you vulnerable to HIPAA violations, so train and, if necessary, restrain employees to reduce the risk.
