How we define, diagnose, and document diagnoses that predict morbidity and mortality is essential if we want our patient’s risk to be accurately portrayed.
This week’s Medicare updates include additional information on denial of home health payments when required patient assessment is not received; Advanced Provider Screening phase 1 go-live; an MLN Matters article on billing for Advance Care Planning claims; and more!
This week’s Medicare updates include an OIG report regarding hospital noncompliance with Medicare Requirements for billing outpatient right heart catheterizations with heart biopsies; a new educational initiative to raise awareness of chronic care management; quarterly updates to the ESRD PRICER; and more!
Where can we find the new Medicare Physician Fee Schedule (MPFS) rate for outpatient prospective payment system (OPPS), non-excepted departments? It didn’t seem to be clearly located on the MPFS final rule relative value units (RVU) file. Are we supposed to assume an exact 50% reduction of the OPPS rate?