CMS recently released details of its next round of settlements for hospitals with pending inpatient appeals to help clear a massive backlog that has been the subject of a long-running lawsuit.
With appeals waiting for adjudication before Administrative Law Judges (ALJ) ...Read More »
The pay regulations for 2017 are expected to increase Medicare payments to hospitals for outpatient services by 1.7%, according to details about the 2017 ...Read More »
When coders can rely on the written diagnosis statement from a provider, it may negate all clinical documentation improvement efforts, according to an issue brief released by the Workgroup for...Read More »
With the help of our hospital quality improvement (QI) committees, we can take action to restore the integrity of the discharge summary. Consider the following:
The American Hospital Association (AHA) released a series of videos to educate hospitals, clinicians, and trustees on the new system outlined in the Medicare Access and CHIP Reauthorization Act (MACRA).Read More »
In the largest settlement with a skilled nursing facility chain in Department of Justice history, federal prosecutors say Life Care Centers of America billed Medicare and TRICARE for unnecessary rehab therapy.Read More »
The American Hospital Association (AHA) asked a federal judge to require the Department of Health and Human Services (HHS) to implement three “practicable solutions” to the Medicare claims appeals backlog, according to a motion filed on October 14.Read More »
