Recently The Joint Commission implemented an initiative, Project REFRESH, to improve processes related to pre-survey, on-site survey, and post-survey activities. Simplification, enhanced relevancy to organizations, increased transparency within the accreditation process, and the utilization of innovative approaches and technology are the goals of Project REFRESH.
This week’s Medicare updates include the latest Medicare Quarterly Provider Compliance Newsletter, a proposed decision memorandum for hyperbaric oxygen therapy NCA, new interest rates for Medicare overpayments and underpayments for Q2 2017, and more!
HCPro is currently seeking speakers to present at the 2017 Revenue Integrity Symposium, to be held October 21–22, 2017, in Nashville, Tennessee. Is that special person you or a colleague?
This week's note from the instructor discusses the future of Recovery Auditor reviews and the latest information from CMS as discussed during the recent Hospital Open Door Forum.
Obtaining appropriate inpatient status orders for inpatient-only procedures can be difficult due to the EMR and written orders that are still in existence. Is it true that if the surgeon or attending physician orders observation/outpatient status after an inpatient-only procedure that we must bill as outpatient? Can we use our utilization review committee to overturn the observation/outpatient order in this scenario? Please advise.
Hospitals affiliated with Medicare accountable care organizations are more likely than other hospitals to avoid rehospitalizations from skilled nursing facilities, a Health Affairs study found.
