This week’s Medicare updates include an application of a payment adjustment for IPPS low-volume hospitals, an OIG review which found 100% non-compliance with billing regulations for intensity-modulated radiation therapy planning services, a fact sheet on submitting data for MIPS through the claims data submission process, and more!
Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.
Inappropriate use of nonemergency ambulance transport cost Medicare $8.7 million in overpayments, according to a recent Office of Inspector General (OIG) report.
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS has continued to propose additional removals in the 2019 proposed rules. In addition, the agency is proposing to add to its ability to remove quality measures in the future.
