According to CMS, some of the changes implement certain statutory provisions contained in the Affordable Care Act and other legislation. These changes are applicable to discharges occurring on or after October 1, 2014, unless otherwise specified in this final rule. There are updates to the rate of increase limits for certain hospitals excluded from the IPPS that are […]
IRF Coding: 6 Steps to Getting it Right
The Role of Documentation
Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets. […]
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 […]
From the OIG News Release: The newest step in OIG’s Provider Compliance Training initiative is free videos and audio podcasts – averaging about four minutes each – which cover major health care fraud and abuse laws, the basics of health care compliance programs, and what to do when a compliance issue arises. The first […]