CMS finalized the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) rule on November 1, 2012, updating Medicare payment policies and rates for hospital outpatient and ASC services beginning January 1, 2013. The final OPPS/ASC rule with comment period affects hospital outpatient departments in more than 4,000 hospitals, including general acute […]
RAC Focus: Coding & Documentation of UTI
RAC Focus: Coding & Documentation of CHF
RAC Focus: Coding & Documentation of Pneumonia
The Role of Documentation
RAC Focus: Automated Denials
The HHS Office of Inspector General (OIG) Work Plan for Fiscal Year 2013 provides brief descriptions of activities that OIG plans to initiate or continue with respect to HHS programs and operations in fiscal year 2013. The Work Plan describes the primary objectives and provides for each review its internal identification code, the year in […]
Click here for the complete document from the Federal Register Hospital IPPS for Acute Care Hospitals and the LTCH Prospective Payment System and Fiscal Year 2013 Rates; Hospitals’ Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers This document contains technical errors which are corrected […]
On February 24, 2012, CMS released a Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits. The notice advises that: · CMS will perform its next round of Medicare Advantage (MA) contract-level audits on payment year 2011. · Payment year 2011 is the first […]