Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (...Read More »
Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved...Read More »
In the 2019 OPPS final rule, released Friday, November 2, CMS implemented several site-neutral payment policies, though the agency did delay or...Read More »
Q: How are you carving out other services from observation? Are you using a standard time or calculating based on the time off the nursing unit?...Read More »
The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment...Read More »
Clinical documentation improvement (CDI) teams are continually challenged with making the CDI process as efficient as possible, while also ensuring all queries are compliant and medical records are complete and accurate. When many of the steps in the process are still managed manually, or using...
