The North Dakota Department of Human Services’ claims for Medicaid reimbursement for Targeted Case Management Services did not meet all federal requirements and lacked appropriate policies and procedures for claims, according to the Office of Inspector General.
This week’s note from the instructor discusses the 2017 OPPS final rule’s provisions for implementing Section 603 of the Bipartisan Budget Act of 2015, which requires an alternate payment system for certain off-campus provider-based services.
Including patients and families/caregivers in daily hospital rounds and bedside conversations can provide patients and their families with better insight into care and enable active participation.