Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
CMS estimates a $ 2.3 billion increase in hospital payments next year due, in part, to a 2.5 percent bump in reimbursement rates under Medicare’s IPPS. On Aug. 2, 2021, the Centers for Medicare and Medicaid Services (CMS) posted the fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment […]
The post 2022 IPPS Final Rule Boosts Hospital Reimbursement appeared first on AAPC Knowledge Center.
OIG Tags Arizona Hospital for Erroneous Billing
Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS’ Office of Inspector General, according to an OIG report.
The three claims that did not comply with Medicare billing requirements resulted in Flagstaff Medical Center receiving $ 79,216 in overpayments during the two-year audit period of January 2016 through December 2017, according to the OIG.
The post OIG Tags Arizona Hospital for Erroneous Billing appeared first on The Coding Network.
Understand the importance of listing hospital charges publicly.
The post 2021 Brings Hospital Pricing Transparency appeared first on AAPC Knowledge Center.
U.S. hospitals recently received a letter from the Centers for Medicare & Medicaid Services (CMS), on behalf of Vice President Michael Pence, requesting they report their COVID-19-related data. This data request is two-fold. What Data Must Hospitals Report? First, the hospitals should report their data on COVID-19 testing performed in their Academic/University/Hospital ‘in-house’ laboratories, to […]
The post Hospital Labs to Share COVID-19 Data appeared first on AAPC Knowledge Center.
Newly finalized hospital price transparency requirements have the healthcare industry in a tizzy. That was obvious during the question and answer portion of a National Call, held by the Centers for Medicare & Medicaid Services (CMS), on Dec. 3. The American Hospital Association (AHA) and other hospital groups filed a lawsuit the next day, challenging […]
The post Stakeholders Rebuke Hospital Price Transparency Final Rule appeared first on AAPC Knowledge Center.
The US Attorney for Manhattan, New York, and a Special Agent for the OIG’s New York Regional Office, announced today that the US Federal Government has settled a civil fraud suit against Lenox Hill (a Manhattan Hospital) and its corporate parent Northwell. The Government’s complaint alleges that the two Defendants violated the False Claims Act by knowingly and fraudulently billing Medicare for healthcare services that didn’t comply with Medicare law.
The post Lenox Hill Hospital Pays $ 12.3 Million Settlement For Submitting Fraudulent Medicare Claims appeared first on The Coding Network.
AAPC’s Regional Conference in New York City (Aug. 19-21) is a must for anyone who works in the business of healthcare such as medical coders, billers, and auditors. With so many opportunities for education, networking, and vendor resources all in one amazing place, this conference will certainly take your career to new heights! This year’s […]
The post Head to NYC for Hospital Compliance Education appeared first on AAPC Knowledge Center.
still a big confusion .can anyone help with this :
If all three key elements of the minimum initial hospital visit are not met, would you instead submit subsequent hospital codes ? (Ex: initial hospital visit case is leveling out to History – EPF, Exam -EPF and MDM – Moderate). Being the lowest level is detailed/detailed/low, I’m not sure how to proceed. Any insight appreciated, thank you!
please provide reference.
The Trust support for Medicare Part A — which covers inpatient clinic and gifted nursing home consideration — will exhaust in seven years, as per the Medicare Board of Trustees’ yearly report. Medicare Part A’s Hospital Insurance Trust Fund will pay full advantages through 2026. That is that year the trustees’ accounted for a year ago.
The post Trustees state Medicare Hospital Fund will run dry in seven years. appeared first on The Coding Network.