Trouble viewing? See it online! Friday, August 21, 2020
 

News
OIG says hospitals overbilled Medicare $1 billion for severe malnutrition
Source: ACDIS
​The diagnosis of severe malnutrition has long been in the sights of the HHS OIG. Most recently, an OIG audit performed found that hospitals overbilled Medicare roughly $1 billion by incorrectly assigning severe malnutrition diagnosis codes to inpatient hospital claims.
Tip of the week
Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1. The test must be performed within 14 days of admission, and the results must be documented in the patient’s medical record.
 

Revenue Cycle Advisor Subscriber Content

Preparing for CMS audits expected in August
Source: Revenue Cycle Advisor
Case management directors and utilization review (UR) case managers beware! In a Frequently Asked Questions (FAQ) document released in July, CMS said it expects to discontinue enforcement discretion for Medicare fee-for-service medical reviews beginning August 3, regardless of the status of the public health emergency (PHE).
 

Daily Q&A
Q&A: Determining when to report individual, family psychotherapy in CPT
Source: Revenue Cycle Advisor
Q: Would it be appropriate to use family psychotherapy CPT codes 90846-90849 to report therapy for the benefit one person that involves input from family members?

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Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.
 

Upcoming CMS Events
Thursday, 8/27 - Dr. Todd Graham Pain Management Study Listening Session
Monday, 8/31 - Advisory Panel on Hospital Outpatient Payment Meeting
Tuesday, 9/8 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday, 9/9 - ICD-10 Coordination and Maintenance Committee Meeting
 

Product Spotlight

2021 JustCoding Pocket Guide

The 2021 JustCoding Pocket Guide breaks down complex coding topics into easy-to-understand concepts so that coding professionals can accurately and efficiently do their job. Walk through diagnostic criteria, official coding guidelines and documentation requirements so that you can accurately validate and code your most common diagnoses.
 

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Coronavirus and Pandemic Response

Find the latest resources on preparing your facilities to respond to the ongoing COVID-19 outbreak.
 
 

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