Severe Protein Calories Malnutrition in the OIG Crosshairs |
The diagnosis of severe protein calorie malnutrition is under high scrutiny from the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG).
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8 Medical Coding Mistakes That Could Cost You
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Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical care you provide, but it is essential that you avoid improper billing practices to steer clear of trouble and maintain a flourishing practice. When it comes to medical coding errors, they fall
into...
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CMS Strengthens Decentralization Push, Gives States More Medicaid Authority
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Aiming to cut down on regulatory burdens and give more power to states, the Centers for Medicare & Medicaid Services is making notable changes to the Medicaid program, the biggest source of payment for nursing homes. CMS issued a bulletin late Thursday...
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Is it Patients over Paperwork, or Providers over Patients?
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Has my entire career been based on a lie? For 33 years, I have been espousing the party line that good documentation positively impacts patient care. I have taught documentation to providers who have gotten in trouble with their medical boards for six years, including appropriate evaluation and management (E&M) levels of service. As I see it, the problem is not that
following guidelines is excessively burdensome; it is that the guidelines were...
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CMS Gives $925M Payment Boost to Post-Acute Providers
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CMS issued final rules July 31 that increase payments to inpatient rehabilitation facilities and skilled-nursing facilities by $925 million. Here are six things to know about the rules:
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