This week's note from the instructor reviews coding and documentation requirements for severe malnutrition in light of another OIG review of these types of claims.
Q: Naturally, companies are curious to learn which of their employees have been exposed to COVID-19 as the workforce begins to return to the office. Under what circumstances can healthcare providers legally disclose a patient’s diagnosis to his or her employer?
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.
Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?
This week’s Medicare updates include new FAQ items for COVID-19 billing, updates to the OIG work plan, and another revision to the July 2020 OPPS update.
An appeals court ruled that CMS has the authority to implement a controversial site-neutral payment policy. The ruling, delivered July 17, reversed a 2019 district court decision that vacated the policy.
