Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
Case management leaders were warned of an impending nurse case manager shortage 10 years ago, and now it is upon us. The U.S. Bureau of Labor has estimated that U.S. healthcare organizations will be short at least 1 million nurses by 2022.
This week's note from the instructor walks through the nuances of decoding transmittals by using a recent transmittal on national coverage determination changes as a case study.
Q: Sometimes employees don’t seem to have a great understanding of HIPAA even after they have received HIPAA training. What HIPAA training strategies work best?
This week’s Medicare updates include four new items added to the OIG work plan, a new version of the integrated denial notice form, a transmittal implementing numerous regulatory revisions to the State Operations Manual, and more!
