Medicare made $54.4 million in improper payments to acute care hospitals for post-acute transfers that did not comply with Medicare’s policies, according to a November 1 report from the Office of Inspector General (OIG).
Aegis Medical Group, a physician practice in Mount Dora, Florida, recently notified 9,800 patients that their protected health information (PHI) may have been accessed by a former employee.
Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?
Q: A patient presents for routine obstetrical (OB) care following a vaginal delivery. During the visit, the provider performs a postpartum depression screening. Should the depression screening be charged separately from the global OB visit service?
Medicare overpaid providers $640,452 for chronic care management (CCM) services and may have overpaid outpatient facilities an additional $1.2 million for CCM, according to an Office of Inspector General (OIG) report released November 7.
Q: I read that CMS changed the scope of work for the Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) Livanta and Kepro recently. What impact has that had on hospitals?
The Office of Civil Rights (OCR) recently imposed a $1.6 million civil penalty against the Texas Health and Human Services Commission (TX HHSC) for a data breach that enabled unauthorized individuals to view the protected health information (PHI) of 6,617 individuals.
