CMS rescinded Transmittal SE1607 August 18, which was related to its enforcement of the 20 hours per week billing requirement for its partial hospitalization program.
This week's Medicare updates include the Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) Final Rule; an update to Hospice Payment Rates; Proposed Changes to Comprehensive Care for Joint Replacement Model; and more!
Resolving claims returned with National Correct Coding Initiative edits or Medically Unlikely Edits can be a time-consuming process. Organizations need processes to promote best practices and keep appeals on track, as well as coding and billing policies that address common front-end problems that lead to these edits.
The CMS policy in the 2018 OPPS proposed rule with potentially the largest administrative and financial burden for hospitals should not be finalized, according to the agency’s own advisory panel.
You may find significant changes to E/M reporting in the near future, including a pivot away from two key elements — history and physical exam — that largely determine a given level of service for your most common patient encounters.
