This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement, the release of the 2019 hospital OPPS two times run document, and more!
Trouble viewing? See it online! Wednesday, February 27, 2019
 

News
This week in Medicare updates—2/27/2019
Source: Revenue Cycle Advisor
This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement, the release of the 2019 hospital OPPS two times run document, a transmittal about new HCPCS codes subject to and excluded from CLIA edits, and more!
Hospital disputes OIG audit findings that estimate more than $22 million in overpayments for IRF and DRG errors
Source: Revenue Cycle Advisor
Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.
 

Revenue Cycle Advisor Subscriber Content

Making sense of the sepsis controversy
Source: Revenue Cycle Advisor
Get to the root of the problem with defining and defending a sepsis diagnosis.
 

Daily Q&A
Q&A: Knowing the difference between capacity and competence
Source: Revenue Cycle Advisor
Q: Can you explain the difference between patient capacity and patient competence and explain what role a case manager has in determining them?  

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Upcoming CMS Events
Thursday, 2/28 - Special Open Door Forum: Medicare Documentation Requirement Lookup Service
Tuesday, 3/5 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday, 3/6 - ICD-10 Coordination and Maintenance Committee Meeting
Tuesday, 3/12 -  Dementia Care & Psychotropic Medication Tracking Tool Call
 

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During this 90-minute webinar, expert speaker Ed O’Beirne, CCS, PA, CDIP, will explain cardiac anatomy, physiology, and pathophysiology, and review ICD-10-PCS coding challenges and requirements associated with the cardiac system. Through case studies and coding examples, including heart catheterizations and valve replacements, O’Beirne will provide coders with the details they need to decipher provider documentation.
 

    

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