The Office of Inspector General (OIG) will be taking a closer look at how health risk assessments influence Medicare Advantage risk scores and risk-adjusted payments, according to its recently updated Work Plan.
In today’s continually changing healthcare environment, increasing demands to share patient information create complex challenges. Learn how to optimize staffing and technology to ensure efficient and compliant release of information (ROI).
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.
