Tuesday, October 25, 2016

News

CMS Issues Revised MLN Matters on Qualifying Three-Day Stays
Source: Medicare Compliance Watch
An inadvertent change in CMS guidance from “subsection (d) hospital” to “acute care hospital” to “IPPS hospital” resulted in eligible patients being denied admission to long-term care hospitals, but CMS has since revised its guidance.
MACRA Could Spawn Gentler Track for Downside Shared-Savings Risk
Source: HealthLeaders Media
A proposal to create a new track in the Medicare Shared Savings Program (MSSP) with limited downside risk is drawing guarded optimism from a pair of healthcare-provider trade associations.
Study Finds 30% of Antibiotic Prescriptions Not Necessary
Source: Physician Practice Insider
A new study has found that 30% of antibiotic prescriptions written were unnecessary to the condition they were treating, adding to a body of evidence that physicians routinely prescribe antibiotics to patients who don’t need them.
 

Daily Q&A

Q&A: Condition Code 44 Processes
Source: Medicare Compliance Watch
What are the requirements for compliantly using condition code 44 to change a patient’s status?

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Upcoming CMS Events

Tuesday, 11/1 - How to Report Across 2016 Medicare Quality Programs Call
Wednesday, 11/2 - Clinical Diagnostic Laboratory Test Payment System: Data Reporting Call
Tuesday, 11/15 - Quality Payment Program Final Rule Call
 

Product Spotlight

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Free Resources

Medicare Compliance Watch Helpful Links

Visit this valuable free collection of helpful links compiled by HCPro regulatory specialists.