A case manager returns to work at the start of the new year only to find that two of his patients’ commercial insurances had implemented new discharge planning and utilization review rules effective January 1.
This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement; the release of the 2019 hospital OPPS two times run document; a transmittal about new HCPCS codes subject to and excluded from CLIA edits; and more!
Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.
The American Hospital Association (AHA) has launched its 2019 Innovation Challenge, which focusses this year on using technology to address the social determinants of health and connect people with resources to address community health needs.
