Q: CMS released guidance last summer about not auditing or counting errors for the specificity of an ICD-10-CM code. CMS is not going to count the code as an error as long as the first three digits are correct. Does this apply to medical necessity diagnoses and edits?
This week’s updates include change requests regarding payments to home health agencies that do not submit required quality data; the July 2016 update of the ambulatory surgical center payment system; and more!
Each year, some 400,000 patients in the U.S. receive home parenteral and enteral nutrition (HPEN), and that number is expected to grow as the population ages, the malnutrition epidemic becomes greater, and the push to improve nutrition to improve patient outcomes increases, says Noreen Luszcz, MBA, RD, CNSC,the national nutrition program director for Option Care, a home infusion provider for adult and pediatric patients.
Creating and conducting an organizationwide risk analysis: Part 1
Editor's note: This is part one of a series about implementing organizationwide risk analyses. Look for part two in an upcoming issue of BOH.
OCR's breach settlements, corrective action plans (CAP), and penalties often take organizations to task for not completing a regular organizationwide risk analysis, yet it's all too easy for this important job to fall by the wayside. A lack of resources and competing demands within an organization can push the risk analysis to the bottom of the list of priorities. But this leaves an organization vulnerable to threats it will only see in hindsight. It also often leads to scrutiny from OCR and the public.
