This information, from the Joint Commission, addresses standards that are invoked by the use of unlicensed individuals (called scribes) to enter the physician’s documentation. Click to read the entire document.
CMS has provided an FAQ document to address concerns regarding the 2 Midnight Inpatient Admission Guidance which begins October 1, 2013. Click to read the document on the CMS site. Q: Will CMS direct the Medicare review contractors to apply the 2-midnight presumption-that is, contractors should not select inpatient claims for review if the inpatient […]
A Push Toward Perfection
CMS Guidance for documentation, coding and billing of mammography dated August, 2012. This article is from the Medicare Learning Network.
Click here to download this document
This notice sets forth OIG guidance regarding standards OIG will apply in assessing the performance of State Medicaid Fraud Control Units (MFCU or Unit). These standards replace and supersede standards published on September 26, 1994 (59 FR 49080). OIG will apply these standards in certifying and recertifying each Unit and to determine if a Unit […]
This white paper details important information for appropriate reporting of Colonoscopies and EGDs. Click to download.
Visit this page for the latest podcasts and related information from the Office of Inspector General. Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities January 14, 2015 Jenell Clarke-Whyte, a team leader for the Office of Evaluation and Inspections, is interviewed by Nancy Harrison, Deputy Regional Inspector General for Office […]
CMS has developed compliance program guidance for Medicare fee-for-service Contractors. This compliance program guidance is intended to assist Medicare fee-for-service Contractors in developing and implementing effective compliance programs that promote adherence to, and allow for, the efficient monitoring of compliance with all applicable statutory, regulatory and Medicare program requirements. CMS, in its ongoing effort to […]