CMS issued new guidance last week aimed at clarifying the so-called “two-midnight rule” finalized in the 2014 IPPS. The rule essentially states that physicians should order an inpatient admission if he/she expects the care...Read More »
Although Recovery Auditors have identified more than a billion dollars in inappropriate payments, CMS needs to do more to improve its oversight of the program, and target potential instances of fraud identified by the program,...Read More »
Inpatient coders are accustomed to assigning a present-on-admission (POA) indicator in ICD-9-CM and they will continue to do so in ICD-10-CM. Although the POA indicators remain the same, ICD-10-CM includes a list of codes that...Read More »