CMS Transmittal 1203 dated March 22, 2013 MLN Matters (revised July 6, 2013) These documents provide guidance for billing Part B inpatient claims and the use of condition code W2.
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.
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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 […]