CMS has issued two errata and correction notices for how MS-DRG logic functions in FY2017. These changes may impact payment. This article highlights a few examples.
It is important to note that CMS published v34 r2 in time for implementation on 10/1/2016, but the v34 r3 was released after claims for FY2017 had begun, so improper payments may have occurred.
Attendees will gain a better understanding of 2017 CPT changes, with an overview of changes, the rationale behind those changes, and a review of each change by section, including:
Since the implementation of ICD-10, strict documentation practices have become crucial to maintaining a climate of compliance — and avoiding government audits. As a new coder or auditor, not only is understanding E/M guidelines foundational to reimbursement, but also knowing how payors interpret national guidelines plays a key role in compliance.
This webinar will prepare hospital staff for compliance with 2017 Medicare outpatient billing guidelines by reviewing the key provisions of the Medicare Outpatient Prospective Payment System (OPPS) Final Rule. Policy changes will be briefly explained and hospital action items will be identified to help participants create their own facility’s action plan. Objectives include:
This webcast will demonstrate how your facility will benefit from the value of an end-to-end claims audit tracking and analysis systems. You will learn how such a system can increase your facility's compliance while reducing errors, and — most importantly — allow your hospital to protect its reimbursements.