CMS announced certain public health emergency policies have been enacted in California to assist those affected by the recent wildfires across the state.
Connie, the manager of a case management department, was responsible for the patient discharge transportation budget for patients who did not have a ride home from the hospital. Her role covered all medical-surgical units, but not the postacute recovery room (PACU). However, when she received a desperate call from one of the PACU staff nurses, requesting assistance with a patient who did not have a ride home, she agreed to help. Connie viewed her case management department as being service-oriented and inclusive of all patients, even those beyond her assignment.
In recent years, the federal government has been pushing hospitals to help their patients self-manage chronic conditions. If patients and families aren’t able to sufficiently self-manage their conditions within 30 days of discharge, hospitals may incur reimbursement penalties when these patients are readmitted or need to come back to the emergency department, says Karen Zander, RN, MS, CMAC, FAAN,president and CEO of The Center for Case Management, Inc., in Wellesley, Massachusetts.
Whether it is the CPT Manual or Chapter 12 of the Medicare Claims Processing Manual, the definition of a “new patient” is the same for physicians and nonphysician practitioners billing. But that doesn't mean coding and billing for E/M services is clear cut.
This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!
This week’s Medicare updates include Fiscal Year 2017 Inpatient Prospective Payment System and Long Term Care Hospital PPS Changes; Revisions to State Operations Manual for Critical Access Hospitals (CAH) and Swing-Beds in CAHs; and more!
This week’s Medicare updates include an update to inpatient psychiatric facilities PPS (IPF PPS) FY 2017; a Comprehensive Primary Care Plus (CPC+) region announcement; and more!
My understanding is that under the 2-midnight rule CAHs cannot go past two midnights of observation care if the patient has Medicare as a payer. Is that correct?
