This week's note discusses the order and certification requirement for critical access hospitals (CAH), including the proposal in the FY 2018 IPPS proposed rule to reprioritize the review of CAH inpatient admissions.
Q: We have trouble billing multiple units of injections and infusions that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?
When it comes to dealing with Medicare Recovery Auditors (RACs), there is never a dull moment for HIM professionals. Any shift in the RAC program quickly emerges as front-page news for HIM leaders.
This week’s Medicare updates include a clarification of medical reviews of hospital claims for Part A payment, two new “K” codes for therapeutic continuous glucose monitors, The July 2017 quarterly HCPCS Drug/Biologicals code change update; and more!
Cancer, infectious disease, and illness due to childbirth are on the rise. The National Academies of Sciences, Engineering, and Medicine (NASEM) highlighted these areas as key priorities for the U.S. in the May 15 report Global Health and the Future Role of the United States, which included insights from an NASEM ad hoc committee.
