It’s been a little more than a year since the novel coronavirus (COVID-19) pandemic began. For case managers, it’s been a year filled with challenges and change. But despite its difficulties, the year also brought with it some important lessons about patient care and best practices.
This week's note from the instructor explores ways the post-acute care transfer rule can lead either to overpayments or underpayments and discusses some actions hospitals can take to ensure accurate payment.
The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.
Q: If we work with a business associate (BA) that enters into agreements with BA subcontractors, are we required to obtain copies of these agreements and review them?
Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle and protect revenue integrity. Consider the different strategies that can be applied to documentation and chart audits, coding audits, and more.
