“This claim was denied after review and it was determined that the documentation did not support the need for an inpatient level of care.”
NHIC Inc., the Medicare Administrative Contractor (MAC) for jurisdiction 14 (which includes Maine, Massachusetts, New Hampshire, Rhode Island...Read More »
CMS projects that payment rates to general acute care hospitals will increase by 2.3% in fiscal year (FY) 2013, according to a March 24 release regarding the Inpatient Prospective Payment System (IPPS) proposed rule. CMS released the IPPS proposed rule yesterday.
HHS released a proposed rule Monday, April 9, regarding a potential one-year delay of the implementation of ICD-10-CM/PCS. If finalized, ICD-10 would become effective October 1, 2014.
A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that included the submission of leading queries to increase reimbursement, according to...Read More »
