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.
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.
Coding for traumatic fractures is based on details about the broken bone and the event that caused the injury. Review ICD-10-CM codes and guidelines for reporting different types of traumatic fractures.
