On August 14, CMS published the FY2018 Inpatient Prospective Payment System Final Rule; with it came discussion and a notice in regards to the 96-hour certification requirement for critical access hospitals (CAH).
CMS rescinded Transmittal SE1607 August 18, which was related to its enforcement of the 20 hours per week billing requirement for its partial hospitalization program.
This week's Medicare updates include the 2018 Inpatient Psychiatric Facilities Prospective Payment System Update; Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization; Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS); and more!
So, you just tossed out the old version of your Advance Beneficiary Notice of Noncoverage (ABN) form and traded it for a fresh version, which went into effect in June. Get ready for another round of replacements.
Improper payments can easily occur due to errors in billing, coding, or medical necessity. As such, it’s important to have a program in place to help you identify and prevent improper payments.