Q: Our facility is interested in conducting audits for observation and drug administration services, but understand they should be considered differently from other services. What details should we take into account before we begin?
It’s no secret that social factors can create sizable barriers for case managers who are working to prevent readmissions, plan for discharges, and meet length of stay targets. Unfortunately, government regulators often don’t factor these issues in when they are looking at quality measures. But that is starting to change.
This week's note from the instructor discusses ways to manage conflicting guidance from CMS regarding add-on code edits and avenues to explore when disputing these edits.
Creating and using performance standards benefits HIM directors and the many functions they oversee. But with such a wide range of tasks falling under the HIM umbrella, it can be challenging to set practical standards that yield meaningful results. Follow these tips to get the most of out of your department’s standards.
CMS is looking to reduce reporting and documentation requirements for inpatient rehabilitation facilities (IRF) in the 2019 IRF payment system proposed rule, published in the Federal Register May 8. The proposed changes could come as a relief to IRFs that have seen a significant uptick in audits and denials.
