This week’s Medicare updates include an OIG featured topic page regarding managed care, the first 10 Part D drugs selected for price negotiation under the Inflation Reduction Act, and more!
This week’s Medicare updates include information on systematic validation edits for OPPS providers with multiple service locations, draft guidance on the new Medicare Prescription Payment Plan, and more!
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.
Terry Tropin, MSHAI, RHIA, CCS-P, reviews the biggest changes to the 2024 ICD-10-CM guidelines and tabular list set to take effect October 1, including deletions of certain COVID-19 screening guidelines, and additional direction for new resistant hypertension and myocardial infarction codes.
