Q: Would it be appropriate to query the provider for clarification if documentation for an orbital fracture doesn’t specify the location of the fracture and whether it is open or closed?
This week's note from the instructor looks at the ongoing judicial actions pertaining to discharge appeal rights for Medicare beneficiaries assigned to outpatient status or who have received observation services.
Q: I work for a small rural hospital, and we have a lot of budget limitations for technology upgrades. Can we allow clinical staff to use their personal cell phones and mobile devices to communicate with patients? If so, how can we keep our calls, email, and text messages HIPAA compliant?
This week’s Medicare updates include information on Hurricane Dorian waivers for Florida, the Carolinas, and Georgia; a final rule on provider enrollment changes aimed at minimizing the risk of fraudulent practices; the October update of the ambulatory surgical center payment system, and more!
Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, is disputing an Office of Inspector General (OIG) report that estimated the group received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.
