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.
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.
This week’s Medicare updates include claims processing instructions for a revised NCD, an update to the manual pertaining to cardiac/pulmonary rehab, updated information on hospital surveys during the COVID-19 PHE, and more!
Medical decision-making is one of the key components of E/M code selection. Review the guidelines to ensure correct coding and to improve internal audits.