When Spencer Johnson wrote the iconic book, Who Moved My Cheese? An A-Mazing Way to Deal With Change in Your Work and in Your Life, he probably didn’t have the homecare industry in mind. But with the speed of reimbursement and regulatory issues surrounding us today, he certainly could have.
A unique organizational model has been developed to handle chargemaster and other revenue integrity workflow at Mary Rutan Hospital in Bellefontaine, Ohio; after sourcing its charge functions from throughout the organization, the hospital has created a centralized team, housed under the title of charge integrity.
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.
CMS proposed a handful of changes to the inpatient-only list in the 2018 OPPS proposed rule, including the removal of total knee replacement procedures from the list despite receiving mixed feedback on that idea last year.
Hospital providers will need to look beyond the OPPS proposed rule for policies regarding 2018 reimbursement, as the 2018 Medicare Physician Fee Schedule proposed rule includes a policy that could once again have significant payment impact on non-excepted, off-campus provider-based departments.
The 2018 OPPS proposed rule is one of the shortest, and latest, in recent memory being released July 13 at only 663 pages, but it contains major proposed policy changes for the 340B drug discount program, new modifiers, and expands packaging to drug administration for the first time.
