Hospitals may aim for a smooth and coordinate patient discharge process, but they’re not reaching that goal often enough according to Medicare. This year, under the Hospital Readmissions Reduction Program (HRRP), Medicare is penalizing around more than 2,500 hospitals for readmissions considered unnecessary, according to More..
“Incident to billing” is perhaps one of the most confusing aspects of healthcare compliance, given the complex requirements and the evolving rules regarding direct supervision. Insufficient understanding of what services are “incident to,” as well as who is qualified to provide them, adds to the More..
Nobody loves an audit, certainly not the office staff responsible for coding and documentation accuracy. But if you’re proactive—and learn to think like an auditor—you’ll be able to develop better clinic policies and practices before auditors come knocking. For 2018, CPT® code changes have no More..
Resistance to antibiotics is one of the greatest modern health threats, according to the World Health Organization (WHO), with doctors fighting to treat an increasing number of diseases previously easily cured with a dose of antibiotics. Thanks to overuse and overprescribing of antibiotics, “bad” bacteria More..
Restraint and seclusion is a hot spot with both CMS and the Joint Commission—and an area where hospitals are frequently cited for being out of compliance. In a recently issued CMS memo summarizing all of the deficiencies against hospitals, the number one? You guessed it: More..
The reporting deadline for the new Merit-Based Incentive Payment System (MIPS) is March 31, but did you know you must report your practice’s data by February? Missing that deadline will be costly. Under MIPS, failure to report your data results in a 4-percent Medicare cut More..
With so much regulation and scrutiny affecting the hospice industry, it can feel tough for hospice managers to keep their head above water, much less improve their industry ratings. But even with all the change roiling the industry, home health and hospice consultant Beth Noyce More..
Proposed adjustments to the Medicare conditions of participation (CoPs) for discharge planning could mean 2018 will be much different for case management departments in hospitals, home care agencies and other healthcare facilities that work on discharge planning. Those changes, said Toni G. Cesta, owner of More..
Patients seeking treatment for substance abuse are afforded special privacy protections under a rule that went into effect in 2017: Is your hospital prepared to comply with this complicated new regulation? The rule for Confidentiality of Substance Use Disorder Patient Records—42 CFR Part 2—requires that More..
With 2018 come more CPT® and HCPCS code updates for podiatry care providers. While these changes and the myriad insurance requirements and coverage exceptions that come with them can feel overwhelming, a good practice is to start with a review of coverage determinations. When it More..