For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.
This week’s Medicare updates include a revision to a transmittal on place of service codes for telehealth, an OIG review of outpatient outlier payments, updates to a handful of chapters in the Claims Processing Manual, and more!
Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.
You’ve likely heard of social determinants of health. But healthcare systems and policymakers have coined a number of other terms for similar concepts. This mishmash of terminology is a potential threat to making progress on these issues.
OCR released a report on audits it conducted. It found that most CEs failed to meet the requirements for selected provisions in the audit. One of the first steps to improving is learning more about audits and assessments, which are trouble spots for entities.
