In several recent reports, the Office of Inspector General (OIG) determined that providers are, on average, variant from expected volumes on both short stay inpatient and long stay observation cases. What was not made clear in the OIG report is the reason why it believes such variances exist.
This week’s Medicare updates include the April 2017 Update of the Hospital Outpatient Prospective Payment System; the April 2017 Update of the Ambulatory Surgical Center Payment System; an National Coverage Analysis for Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD); and more!
Survey data indicates that with penetration of electronic medical record systems at high levels, healthcare investments will focus on system optimization.
Q: We have seen a decrease in payment for our CT scans this year. It is only affecting the scans that we report with modifier –CT, so it isn’t all of them, but it is enough that our CFO has asked about it.
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Set goals, work toward best practices, and raise the bar. The Case Management Boot Camp arms case managers with knowledge of best practices on discharge planning, collaborative practice, utilization management, and more.
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