A case manager learns that a soon-to-be discharged patient’s electricity has been turned off for nonpayment and makes arrangements to have the bill paid and power restored. While this is clearly important to the patient’s health, it is also an example of how case managers may be unintentionally violating the law.
CMS recently released an interim final rule called Requirements Related to Surprise Billing; Part II, which builds on the No Surprises Act. It aims to prevent patients from shouldering the financial burden related to unexpected out-of-network costs.
This week’s Medicare updates include the renewal of the COVID-19 PHE, the correction notice for the FY 2022 IPPS final rule, information on billing and coding for COVID-19 booster shots, and more!
Understanding the nuance of healthcare finance and reporting is tricky but an essential skill for revenue cycle professionals. Take a look at key concepts and terms to decipher financial reports.
This week's note from the instructor reviews the inpatient Part A lifetime reserve days and the process for notifying patients when they are about to exhaust their regular benefit days.
A comprehensive mortality review program can bolster quality of care as well as coding and documentation accuracy. Learn how to make the case for developing or expanding mortality reviews.
