Q: We have received rejections for claims reporting the application of skin substitutes, with the edit stating there is a mismatch of the procedure and the skin substitute. We are using the table that was published in the 2017 OPPS final rule. Has something changed?
Payment reform is here to stay. Although reimbursement will continue to evolve over the next several years, it’s unlikely that payers, commercial or government, are going to abandon risk-based models and value-based purchasing and turn the clock back to fee-for-service and volume over value.
Does your discharge planning process ensure patients are getting adequate and accurate nutritional support? It might not, according to two new studies presented at the American Society for Parenteral and Enteral Nutrition (ASPEN) Clinical Nutrition Week (CNW) conference.
This week's note discusses the recent HCCA-OIG Compliance Effectiveness Roundtable as well as the resulting new compliance resource guide for providers.
