Findings from an Office of Inspector General (OIG) audit show that CHI St. Vincent Infirmary, a regional health network in Arkansas, improperly billed for 103 of 120 sampled claims related to outlier payments, which resulted in the improper billing of outliers totaling $581,136.
Q: How many hours of observation services must a patient receive before the hospital is required to provide them with the Medicare Outpatient Observation Notice (MOON)?
Q: We are seeing more fundoplication surgeries and esophageal sphincter augmentation procedures for patients with gastroesophageal reflux disease at our hospital. Do you have any tips for our coders when reporting these procedures in ICD-10-PCS?
The Office of Inspector General (OIG) will be taking a closer look at how health risk assessments influence Medicare Advantage risk scores and risk-adjusted payments, according to its recently updated Work Plan.
Findings from the Academy of Nutrition and Dietetics’ (Academy) most recent national coding survey of Registered Dietician Nutritionists (RDN) show that 7.8% respondents don’t know what CPT codes are or are not aware of using them.
