In January 2013, CMS introduced 42 therapy functional reporting G codes (nonpayable). These G codes are to be reported in conjunction with therapy services (physical, occupational, and speech). CMS also introduced seven complexity/severity modifiers to be used with these G codes.
Chasing down information on incomplete records can be overwhelming and a lost cause. What do you do when a medical record is incomplete 30 days after discharge (or 14 in California's case) and thus does not meet regulatory standards? Do you file it away without an answer to an open query or a signature from the practitioner? What if the responsible practitioner retired, expired, or is no longer practicing at your facility? Are you doing everything you can to get most deficiencies completed prior to the patient being discharged?
One task that almost every healthcare organization is going to have to tackle to comply with the HIPAA omnibus final rule is amending its Notice of Privacy Practices (NPP).
This article is based on the results of HCPro's annual MRB salary survey. Data in this article represent the responses of 292 HIM professionals from hospitals in the following categories:
