CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.
Today, case managers and social workers have become cross-trained in many areas, creating ambiguity about the distinctive education they must use to support patients in different ways. A scoping exercise can serve as an objective way to determine team roles.
Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?