The case manager shortage is a national crisis, affecting care coordination from hospital to community. Patients, families, and children are feeling the impact.
Sepsis and systemic inflammatory response syndrome are historically difficult to document and report in ICD-10-CM. AlbaKuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, CSCM, breaks down sepsis definitions and outlines a process for query creation.
This week’s Medicare updates include a blog post on CMS plans to wind down COVID-19 PHE waivers, a press release about the discontinuation of certain forms, the annual update to the clotting factor furnishing fee, and more!
Not all hospital-level care needs to take place in a hospital. Since it was first announced in November 2020, CMS’ Acute Hospital Care at Home waiver program has allowed organizations to provide acute care to qualifying patients in their homes rather than in the traditional setting.
CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule. Review other major proposals to understand how your organization could be affected.
