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!
A clinic in Stafford, Arizona, is expanding its services and focus on case management in an effort to improve relationships among primary care providers and patients.
Are physician-to-physician transfers for SNF and rehab facilities required under the proposed changes to the Conditions of Participation for discharge planning?
CMS is expected next week to discuss potential changes to 2-midnight rule audits by Quality Improvement Organizations after quietly suspending the reviews in early May.
Charging for bedside procedures is a relatively new concept. Reporting all of these services under the room rate means losing data vital to evaluating the cost of an individual patient’s care and appropriate reimbursement. Read this excerpt from Billing for Ancillary Bedside Procedures by Denise Williams, RN, COC to learn more.
Q: Our providers are reluctant to document a correlation between symptoms and a detailed diagnosis. Do you have any good ways to get them to do this? For example, our providers document "diabetes" but they often don't include additional details that should be there (e.g., gestational diabetes or type II diabetes mellitus in pregnancy).
