CMS finalizing plans to remove the inpatient-only list, only to propose a reversal less than a year later, has introduced challenges for case managers.
Case managers are charged with helping patients to navigate multiple challenges. But sometimes, their own preconceived notions may creep into care interactions and become a barrier.
Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.
In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.
Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.
In its July newsletter, OCR announced a collaboration with the HHS Office of the National Coordinator for Health Information Technology (ONC) to seek user feedback and improvement suggestions on its Security Risk Assessment (SRA) Tool.
