This week's note focuses on the Patients Over Paperwork initiative and the changes it created in the process for issuing the skilled nursing facility Advance Beneficiary Notice of Non-Coverage form.
This week’s Medicare updates include an advisory opinion on whether an excluded individual could be employed by an entity involved in federal healthcare programs; a pair of fact sheets on the cost and advancing care information performance category policies for MIPS in 2018; a video for medical offices on the new Medicare cards; and more!
Does case management need to be a seven-day-a-week service, or can the service succeed with coverage five days per week? As a case manager, I need to retain staff but also provide some consistency to the patients.
Efficient, correct, and compliant release of information (ROI) processes are necessary to support patient care, legal processes, reimbursement, and patients’ rights. Give ROI staff and leaders a shot of energy with targeted training that adapts to their needs. Succinct modules, interaction, and a positive attitude can have a ripple effect on the department.
Inpatient rehabilitation facilities are a valuable postacute option for patients with complex medical and rehabilitative needs. But if you’re planning on referring a patient to one of these facilities, it’s becoming more important to make sure he or she meets medical criteria for the placement before making a recommendation.
Incorrect inpatient rehabilitation facility (IRF) claims led to $444,458 in overpayments at Memorial University Medical Center, a Savannah, Georgia-based hospital, according to a recent Office of Inspector General audit report. IRF billing compliance has been on the OIG’s radar for several years, and Medicare Administrative Contractors and supplemental medical review contractors have been placing these claims under increased scrutiny.
