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.
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.
This week’s Medicare updates include the July 2022 update to the Outpatient Prospective Payment System, the withdrawal of the SUNSET final rule, an updated memo on reporting COVID-19 data for hospitals and critical access hospitals, and more!
Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Refresh your knowledge of this modifier with coding tips and example scenarios.
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.
