A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation causes most improper payments for arthroscopic rotator cuff repairs, according to the October 2017 Medicare Quarterly Compliance Newsletter.
Too often, organizations fall for common HIPAA myths and erroneously incorporate them into otherwise sound, good-faith compliance efforts. That can lead to wasted time and resources, duplicative work, or even outright noncompliance.
Sometimes it’s the condition of the caregiver, not the patient, that prompts a visit to the emergency department (ED). According to a study published in the Journal of the American Geriatrics Society, this problem is not only resulting in unnecessary ED visits, but in higher costs.
This week's note reviews two major policy changes from the OPPS and MPFS final rules: the reduction in reimbursement for 340B drugs and the reduction in the payment adjustment for non-excepted off-campus provider-based departments.
As federal agencies release new and complex regulations for acute and postacute care facilities, providers are faced with the daunting task of unraveling and complying with the latest changes while ensuring patients receive quality care.
