Compliance Suite

Be Prepared for Changes in Billing Discarded Drugs/ Biologicals

Christina Panos's picture

By Christina Panos, RHIA, CTR

Original post on 6/9/2016 updated on 6/10/2016 to reflect announced delay.

The Centers for Medicare and Medicaid Services (CMS) has maintained a long-standing policy that provides payment for the discarded portion of single-use vials/packages.  While coverage is not changing, the associated drug wastage billing requirements are about to change.

Supporting Compliance in the New World of Remote and Outsourced Coding & Billing.

Rayellen Kishbach's picture

According to a recent HIM Benchmark Report, HIM department managers equally ranked Coder Productivity, Quality, and Managing Financial Metrics as their biggest challenges, while that same report noted that close to 60% of HIM professionals outsource a portion of their coding needs. Even without direct outsourcing, we notice an increase in the opportunity to do coding and billing work remotely.

Understanding MS-DRG Grouping under ICD-10

Rayellen Kishbach's picture

Now that ICD-10 is in full swing, we are seeing a lot of activity with providers, payers, consultants and regulators who need to understand how Acute Inpatient and Long Term Care Hospital claims "behave" when the claim is coded in ICD-10. This includes both prospective and retrospective review of claims scenarios to understand MS-DRG grouping. This article offers a basic primer on MS-DRG grouping logic, and research techniques for using related MediRegs Coding Suite tools.

Policy Management

Maintaining consistent policies, documentation and compliance procedures, particularly across multiple facilities, locations and across multiple states, is difficult and often done after the fact.

OIG Releases New Compliance Oversight Document for Health Care Governing Boards

Darci Friedman's picture

On April 20th, Daniel R. Levinson, the Inspector General for the Office of Inspector General ("OIG"), U.S. Department of Health and Human Services ("HHS") delivered an address at HCCA's 19th Annual Compliance Institute. He was his usual captivating, thoughtful self, delivering a few gems for those in attendance. One of those gems was that that day the OIG released a new document for the industry titled: Practical Guidance for Health Care Governing Boards on Compliance Oversight ("Practical Guidance").

Pages

Subscribe to RSS - Compliance Suite