Q: Are outpatient departments considered part of the therapy cap for hospital-owned facilities? If so, do we need to bill with modifier –KX (Type of Bill 012X)?
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.
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.
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!