News

CMS didn’t use CERT data to identify fraud, OIG says

Source: ACDIS

According to an Office of Inspector General (OIG) audit, CMS did not use Comprehensive Error Rate Testing (CERT) data to identify waste or fraud. The audit states that previous OIG reports “recommend using CERT data to identify and focus on providers that were prone to having errors,” and their “objective was to determine whether CMS and its contractors used CERT program data to identify and focus on error-prone providers.”

Tip of the week

Most of the Medicare waivers issued in response to the novel coronavirus (COVID-19) are what are referred to as “blanket” waivers. Blanket waivers apply nationally, beginning with their effective date and continuing through the end of the public health emergency (unless otherwise specified) and do not require a formal request.

Revenue Cycle Advisor Subscriber Content

Adapting to multidisciplinary rounds in the COVID-19 era

Source: Revenue Cycle Advisor

Case managers have had to make many adjustments during the novel coronavirus (COVID-19) pandemic, but one of the more challenging aspects has been adapting to new ways of communicating with other members of the care team, according to industry experts.

Daily Q&A

Q&A: Reporting perianal abscess I&D in ICD-10-PCS

Source: Revenue Cycle Advisor

Q: We are confused about which body part value in ICD-10-PCS should be captured for an incision and drainage (I&D) of a perianal abscess of the left buttocks because the physician documented both “perianal” and “left buttocks.”

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Product Spotlight

The Social Determinants of Mental Health: Impact of the Pandemic and Beyond

The social determinants of health are an industry priority. While evidence validates the impact of psychosocial circumstances on the health of clients, another vital dimension is present. Mental health incidence and the social determinants are intertwined. In this 90-minute webinar, discover innovative models to interview and assess clients that address readmissions and unnecessary hospitalizations, as well as promote workforce safety and retention.

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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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