If your organization is like many others, you may still have some unanswered questions about the 2-midnight rule. To get organizations up to speed, Medicare Administrative Contractor (MAC) teams are now providing education sessions nationwide. These sessions are designed to give organizations an overview of what to expect and how to comply.
Hospital outpatient therapeutic services, such as ED or clinic visits, that are paid under the OPPS or to critical access hospitals (CAH) on a cost basis must be furnished "incident to" a physician's service to be covered.
CMS made relatively few changes in the April quarterly I/OCE update, introducing four new APCs, deleting one, and reclassifying several skin substitute codes.
With the use of EHRs on the rise, so too is inappropriate use of EHR functionality. Many of these unintended consequences of EHR use are popping up on the radar of healthcare organizations and the federal government alike.
