It is no longer enough to confirm that a diagnosis is documented somewhere in the record. The documentation must also clearly demonstrate the clinical severity of the patient’s illness.
CMS recently published the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule, detailing its tentative plans to update Medicare inpatient coding and billing.
This week’s Medicare updates include final guidance for the third cycle of negotiations for the Medicare Drug Price Negotiation Program, a memorandum on state survey activities during a government shutdown, and more!
