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.
To enhance efforts to combat the opioid crisis in America, CMS policy allows for a new benefit under Medicare Part B concerning Opioid Treatment Programs.
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.
