Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
This week’s Medicare updates include four new items added to the OIG work plan, a new version of the integrated denial notice form, a transmittal implementing numerous regulatory revisions to the State Operations Manual, and more!
This week’s Medicare updates include an article on billing and payment provisions for therapy services under PDGM, an update to the list of DMEPOS items that require prior authorization, a new code to use for coronavirus lab tests, and more!
The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.
Now that training gaps have been identified, training development can begin. Some topics to consider here are subject matter experts, training delivery method, and the use of outside vendors.
Education and training are critical components of an effective compliance plan. Training and education serve to set the tone for the compliance program and the ethics of the organization.
