Q: Do we need to submit a formal request to CMS for any of the COVID-19-related waivers to apply? Do we need to keep records or documentation pertaining to which waivers we've used and the services they apply to?
Supporting accurate Hierarchical Condition Category (HCC) capture is essential to success under the growing number of risk-adjusted payment models. With their strong knowledge of coding and documentation guidelines and insight into emerging trends, coders are a key part of that strategy.
Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle and protect revenue integrity. Consider the different strategies that can be applied to documentation and chart audits, coding audits, and more.
The recent updates to Stark Law and the Anti-Kickback Statute ease many compliance concerns but introduce some new complexities and compliance pitfalls. Gain a deeper understanding of the changes and which arrangements may be affected.
Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements, according to audit results released January 19 by CMS.
The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to a recent update to the OIG’s Work Plan.
