Tuesday, October 4, 2016

News

What a Difference a Word Makes: Qualifying Three-Day Stays
Source: Medicare Compliance Watch
I recently heard of a local long-term care hospital (LTCH, also known as LTACH) that was unwilling to accept military veterans who were cared for at her facility or any Veterans Affairs hospitals even though they would otherwise qualify for LTCH care. The reason the LTCH would not accept these patients was because they did not have a preceding visit in a “regular” hospital. What's the solution?
Mobile Health Apps Slowly Gain Traction
Source: Physician Practice Insider
Mobile health apps are becoming more sophisticated and reliable, but experts say they’re still a long way from becoming a mainstream tool to help physicians and patients manage chronic health conditions.
CA Governor Signs Flurry Of Health Laws
Source: HealthLeaders Media
One new law essentially sets a reimbursement rate requiring insurers to pay out-of-network doctors 125 percent of the amount Medicare pays for the service or the insurer's average contracted rate, whichever is greater.
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Daily Q&A

Q&A: Inpatient-Only Orders
Source: Medicare Compliance Watch
When is the recommended time to write an order for an inpatient-only procedure?

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Upcoming CMS Events

Wednesday, 10/5 - Emergency Preparedness Requirements Call
Thursday, 10/13 - IMPACT Act: Data Elements and Measure Development Call
 

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Comprehensive Care for Joint Replacement (CJR) Model Webinar

This new webinar provides an overview of the CJR model, illustrating how clinical documentation and coding affect performance measures and reimbursement.