Success under MACRA relies on the capture and maintenance of trustworthy clinical and financial patient data sets. HIM professionals understand root cause analysis, the mechanism of reporting data, and the importance of data consistency and integrity.
CMS recently clarified the use of modifier -KX (requirements specified in the medical policy have been met) in response to an Office of Inspector General report that identified conflicting guidance that resulted in $4.6 million in improper payments.
The OIG will be scrutinizing how CMS collects overpayments, according to a recent update to its Work Plan. The agency will be looking at whether CMS followed recommendations to improve and increase collections.
This week’s Medicare updates include the release of the 2019 Inpatient Prospective Payment System proposed rule, the publication of the feedback CMS received following a request for information on initiatives to improve the quality of healthcare while reducing cost, the announcement of the new Data-Driven Patient Care Strategy, and more!
