Q: I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider when choosing the sample?
Case managers in the primary care setting are on the rise, in part due to the role they play in patient engagement as well as the emphasis they place on quality of care in today’s value-based healthcare landscape, according to CMSA Today.
A Comprehensive Error Rate Testing review showed improper coding and insufficient documentation caused most improper payments for E/M services, according to the April 2018 Medicare Quarterly Provider Compliance Newsletter.
Under what circumstances would it be appropriate for a patient who does not meet inpatient criteria to be registered as outpatient receiving observation services?
A CMS fact sheet reminds providers to brush up on their MIPS knowledge in regard to the quality performance category. This performance category is worth 50% of providers’ final MIPS score for 2018, and providers who demonstrate improvement from their performance in the category in 2017 could earn bonus points this year.
