Q: I’m a benefits administrator, and I got a call from human resources about an email she received from an employee about a procedure performed by her physician that was not covered by her insurance. Can I discuss the case with human resources? Or should I talk directly to the employee?
This week’s Medicare updates include the Medicare Advantage and Part D rate announcement and final call letter, a fact sheet on the Preclusion List, updates to provider self-disclosure settlements, and more!
Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.
The American Medical Association (AMA) and UnitedHealthcare announced a collaboration to better address social determinants of health (SDoH) by standardizing how this data is collected and processed through the creation of new ICD-10 codes related to SDoH.
