This week’s Medicare updates include a Special Edition MLN Matters article on the removal of total knee arthroplasty from the inpatient-only list, manual changes related to functional reporting requirements and outpatient therapy caps, the April 2019 quarterly average sales price drug pricing files, and more!
Mandatory participation in Medicare bundled payment programs may yield better results, the U.S. Government Accountability Office (GAO) said in a report released January 22.
Data is an essential tool in understanding the patient population that will guide the focus of your program. Both internal metrics and community/public health data will provide strategic focus to case management practices.
Q: How far in advance are we required to provide an Advance Beneficiary Notice of Noncoverage (ABN)? If multiple entities are involved in ordering and providing a noncovered service such as a lab test, does each entity need to issue a separate ABN?
In this month's HIPAA Q&A, we answer your questions about making changes to patient records, the difference between consent and authorization, vaccination data, and more!