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.
Back in January, I wrote an article regarding E/M codes and the need for changes to the 1995 and 1997 E/M documentation guidelines. In that article, I suggested making E/M codes for office visits solely time-based to simplify the reporting of these very subjective codes. Little did I know that this is what CMS would propose months later.
