Q. We are a claims repricer and maintain a secure claims department. When outside vendors, such as building maintenance people, enter the secure area, are they required to sign a logbook indicating what time and date they entered and exited the claims department?
At 2:50 p.m. on Monday, April 15, two bombs went off at the finish line of the 117th annual Boston Marathon. Three people were killed, hundreds were injured, and local case managers needed to help deal with the crisis.
CMS is reexamining inpatient criteria because it has seen a significant increase in the number of patients spending more than 24 hours in observation. Providers are worried that a Recovery Auditor will deny a short inpatient stay for lack of medical necessity and recoup payment years later. So instead, some facilities place patients in observation for longer time periods.
The AMA revamped coding for molecular pathology beginning in 2012 and continuing in the 2013 CPT ® Manual. Now CMS is trying to determine how to pay for those tests and the agency wants to hear from providers.
