Q: If I document a wound at Stage 3 with no CC or MCC, do I also need to assign a present on admission (POA) status? A: Every diagnosis reported (unless exempt) require a POA status.Read More »
No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is distributed by TMF Health Quality Institute under contract with CMS and summarizes facility-specific data statistics for Medicare services that may be at risk for improper payments...Read More »
All short-term acute care facilities earn reimbursement from Medicare according to the inpatient prospective payment system (IPPS), right? And all outpatient facilities obtain reimbursement according to the rules in the outpatient prospective payment system (OPPS), correct?
Even after Medicare officials agreed that seniors cannot be denied coverage for physical therapy and other care based on their condition not improving,...Read More »
Intensive care units are expensive, invasive, and supposed to be reserved for the sickest hospital patients, but more than half the time, they're not needed, according to research from LA BioMed and UCLA,...Read More »
By Rachel Strom, RN
Yes, I’ll admit it, I used to be one of those people, I am a former Medicare Administrative Contractor (MAC) reviewer. Before finding a great fit in on a CDI dream team (or so I’d like to think we are), I worked as a Medical Review Examiner for a MAC contractor...Read More »
