CMS instructed Medicare Administrative Contractors (MAC) to review previously denied 2018 outpatient therapy claims reported with modifier -KX. However, because MACs might not automatically review all denied therapy claims, providers will need to initiate the process.
The pediatric population is at high risk for medication errors in the emergency department, with medication error rates three times higher in pediatric patients than in adult patients, according to a study in Annals of Emergency Medicine.
Discharges are a common place for lapses and failures to occur, but when they involve patients suffering from mental illness or substance abuse, they can be even more challenging. Although these complex patient cases may present sizable hurdles, it’s important that facilities take measures to ensure discharges in these instances follow both federal and state guidelines and help protect vulnerable patients whenever possible.
