Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.
CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.
The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.
Now that training gaps have been identified, training development can begin. Some topics to consider here are subject matter experts, training delivery method, and the use of outside vendors.
This week’s Medicare updates include a new NCA on artificial hearts and related devices, the advance notice for 2021 Medicare Advantage rates and policies, two memos for hospitals regarding coronavirus considerations, and more!
Education and training are critical components of an effective compliance plan. Training and education serve to set the tone for the compliance program and the ethics of the organization.
A large HIPAA breach settlement after a hospital system’s alleged failure to follow the feds’ suggested solution is a reminder that when it comes to enforcement, the government is holding all the cards.
A Texas-based healthcare company reached a voluntary resolution agreement with HHS and the Office for Civil Rights (OCR) on January 16 regarding allegations that it had failed to provide effective communication to hearing-impaired patients.
