In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.
CMS finalizing plans to remove the inpatient-only list, only to propose a reversal less than a year later, has introduced challenges for case managers.
A room and board policy defines routine daily hospital services and covered medical and surgical services and supplies. Use this sample policy as a template for your organization.
This week’s Medicare updates include revisions to guidance on interstate licensing compacts, an OIG review of Medicare Advantage risk adjusted payments, the quarterly update to the ESRD PPS, and more!
