Feb 13th, 2017
Forget the traffic gridlock to the huge, metro medical center where you’re bound to get lost. Drive past the sketchy strip mall’s urgent care center and go to the neighborhood microhospital for your care. These eight to 20 bed facilities comprise the newest service for those living in urban and suburban areas. Get quicker access to ...
In Audit
Jan 19th, 2017
In the 2017 Work Plan, the Office of Inspector General (OIG) is reviewing Medicare’s billing and reimbursement integrity for two diagnosis-related groups (DRGs): inpatient claims for kwashiorkor diagnosis and mechanical ventilation. Kwashiorkor is a severe protein malnutrition that usually “affects children living in tropical and subtropical parts of the world during periods of famine or ...
In CMS
Jan 18th, 2017
Eligible hospitals and critical access hospitals participating in the Hospital Inpatient Quality Reporting (IQR) and/or Medicare Electronic Health Record (EHR) Incentive Program have been granted a little more time to submit their electronic Clinical Quality Measure (eCQM) data for the 2016 reporting period. The original deadline of Feb. 28 has been extended to March 13. According ...
In Billing
Jan 17th, 2017
If you are hoping the Centers for Medicare & Medicaid Services (CMS) will throw caution to the wind and spearhead the telehealth movement, think again. Based on the 2017 Medicare Physician Fee Schedule (MPFS) Final Rule, unless pressed by lawmakers, they are going to take their time adding to this line of coverage. There are ...
Healthcare is advancing and evolving to value-based patient care, and clinical and business trends are showing increases in physicians providing services under the umbrella of larger facilities and hospital healthcare organizations. Facility inpatient and outpatient care and reimbursement have become the up-and-coming area that healthcare business professionals are focusing on. There are coder and ...