Q: The 2021 Inpatient Prospective Payment System (IPPS) final rule requires providers to transmit all records to Quality Improvement Organizations (QIO) electronically. How can organizations make sure that they are in compliance if they’re not already?
CMS finalized the long-awaited Stark Law final rule on November 20. The final rule includes significant changes to exceptions to the law as well as expanded guidance and clarification.
Bruce L. Boros, MD, PA, DBA Advanced Urgent Care, a healthcare provider in Key West, Florida, on November 6 reported a security breach that affected 58,823 individuals, according the Office for Civil Rights (OCR) breach report.
Q: Our coding team is having trouble understanding the different types of chronic respiratory failure (CRF) and knowing when to suspect its presence when it’s not specifically documented by our physicians. Can you please help us with this?
The Office of Inspector General (OIG) is planning to audit hospital inpatient claims for compliance with the 2-midnight rule, according to a recent update to its Work Plan.
Q: Case managers across the country have faced challenging circumstances for the past six months, and the novel coronavirus (COVID-19) pandemic is hitting a second wave. How can case managers best cope with the added stress and pressures of the job while caring for their patients during these unprecedented times?
