This week’s Medicare updates include the January 2023 OPPS update transmittal, a proposed rule on interoperability and improving prior authorization processes, billing instructions for home or residence services, and more!
CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.
This week’s Medicare updates include instructions on billing CAR T-Cell therapy in a physician office, revisions to an MLN booklet on Medicare coverage for power mobility devices, an implementation transmittal for the FY 2023 IPPS, and more!
Those in charge of overseeing HIPAA compliance at their healthcare organizations need to have a firm understanding of privacy laws outside of the healthcare arena.
Acute hospital care at home is reimbursed the same as if the patient was physically an inpatient in a hospital, with the same documentation requirements, quality measures, and medical necessity guidelines. Learn how strengthening CDI's role in these programs can help support their success.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.