The following is an excerpt from Inpatient-Only Procedures Training Handbook, written by Debbie Mackaman, RHIA, CPCO, CCDS. For more information and to purchase, visit the HCPro Marketplace.
This week’s updates include October quarterly update to 2016 annual update of HCPCS codes used for SNF Consolidated Billing enforcement; OIG investigation into improper arrangements and conduct involving home health agencies and physicians; and more!
This week’s updates include the temporary pause of QIO short stay reviews; review of CMS' Pioneer Accountable Care Organization Payment Model first performance year administration; and more!
Providers, clinic staff, billing entities, and patients continue to struggle with new reporting requirements for rural health clinics six weeks since the implementation. Read for an expert's analysis of the most recent information CMS has distributed on the requirements.
There are new enforcement editing requirements regarding the coverage and billing of Partial Hospitalization Program services, likely due to significant problems with these claims and coding highlighted in the 2016 proposed and final OPPS rules.
This week’s updates include a transmittal regarding completing and processing Form CMS-1500 Data Set; a transmittal from Provider Reimbursement Manual, Part 1–Chapter 31 on Organ Acquisition Payment Policy; and more!
This week Medicare Insider is featuring an excerpt from Patient Status Training Toolkit for Utilization Review by Kimberly Anderwood Hoy Baker, JD, regulatory specialist for HCPro.
This week’s updates include reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice; Changes to the laboratory NCD edit software for July 2016; and more!
