This week's note from the instructor explores ways the post-acute care transfer rule can lead either to overpayments or underpayments and discusses some actions hospitals can take to ensure accurate payment.
The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.
Q: If we work with a business associate (BA) that enters into agreements with BA subcontractors, are we required to obtain copies of these agreements and review them?
This week’s Medicare updates include claims processing instructions for a revised NCD, an update to the manual pertaining to cardiac/pulmonary rehab, updated information on hospital surveys during the COVID-19 PHE, and more!
Medical decision-making is one of the key components of E/M code selection. Review the guidelines to ensure correct coding and to improve internal audits.
