This week’s Medicare updates include the quarterly listing of program issuances, a fact sheet on the federal health exchange’s 2018 open enrollment period, revised instructions for certificate of medical necessity and durable medical equipment information forms, and more!
Mastering hierarchical condition categories (HCC) is key to success under new reimbursement methodologies that rely on risk-adjustment, quality, and value metrics such as the Quality Payment Program (QPP). Organizations need to take a close look at their training and audit programs to ensure that valuable information isn’t being left out of documentation—and negatively impacting HCC scores.
Tom, a 29-year-old, unemployed construction worker living on the East Coast, decides to drive on his own to the West Coast in hopes of finding a job. He avoids rest stops to decrease his total trip time. Halfway through his trip, he gets in a serious auto accident caused by another driver. The accident occurs in a state with mandated auto insurance.
