This week’s Medicare updates include a notice about the therapy caps exceptions process expiration, two fact sheets regarding the advanced alternative payment model determination process, revisions to guidance for rural health clinic surveyors, and more!
A recent OIG audit and report revealed that Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.
In May, we expect to see the release of the International Classification of Diseases, 11th Edition, for Mortality and Morbidity Statistics (ICD-11-MMS) by the World Health Organization. Work will then begin in the U.S. to adapt it for our clinical use as ICD-11-CM. Hopefully, with the benefit of foresight and lessons learned from the past, we will not reenact the pain we all had with the ICD-10-CM/PCS implementation.
The Case Management Society of America recently released an updated version of its Case Management Model Act, which is aimed at standardizing best practices in case management to improve clinical and financial outcomes, according to CMSA Today.
Our hospital is located in a rural location where it is difficult to find specialty physicians to provide services to its hospital outpatients. We are trying to determine which of our facilities that furnish services on or near the hospital campus would be excluded from provider-based requirements.
