Each year the Office of Inspector General (OIG) outlines its enforcement priorities. Its 2015 Work Plan includes items case managers should have on their radar.
CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the 2-midnight rule, which requires a validated physician order, documentation of medical necessity, and the expectation of a stay crossing two or more midnights.
Better late than never. This is what some healthcare professionals are likely saying about the delayed release of the fiscal year (FY) 2014 OIG Work Plan, which was due to be released in fall 2013 but did not make an appearance until January 2014.
CMS has proposed to rescind the requirement for signatures on all lab requisitions, according to the "Medicare Program; Clinical Laboratory Fee Schedule: Signature on Requisition" proposed rule published in the Federal Register June 30. The 2011 Medicare Physician Fee Schedule, published last November, requires a physician's or nonphysician practitioner's (NPP) signature on lab requisitions for tests paid under the clinical lab fee schedule, regardless of whether there is a signed order. This is the opposite of prior CMS rulings that indicated signatures were not required on requisitions, although written and signed orders were required.
If patients were already concerned about healthcare organizations' ability to protect their information, a report released in May did nothing to alleviate their fears.
