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!
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.
