News & Analysis

January 10, 2017
News & Insights

On Mondays, the facility where I work performs a self-audit on one- and two-day admissions that occurred over the weekend. We do this before the bill is dropped. If we find that an inpatient admission should have observation or outpatient, the billing department uses the appropriate codes for the claim and bills for Medicare Part B. Should we notify the patient of this change? Do we need to involve the physician who wrote the order?

January 6, 2017
Case Management Monthly

The Medicare Outpatient Observation Notice is back and your organization should be ready to use it to comply with the NOTICE Act no later than March 8, roughly 90 days from the December 7 final approval of the form by CMS.

January 3, 2017
News & Insights

What processes should be followed if a procedure changes to inpatient-only during surgery?

December 28, 2016
Medicare Insider

This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!

December 6, 2016
News & Insights

Is it sufficient for utilization review to check patient status just once after admission?

November 8, 2016
News & Insights

What factors indicate that an observation stay would be covered?

Pages