JH Part B Webinar Handout: The Established Patient: Billing and Coding Office Visits-February 11, 2014 (1:00pm-2:00pm CT)
Join us for this fantastic webinar as we review the New versus Established Patient Rules, discuss the “Incident To” Criteria and provide answers to your Frequently Asked Questions. If you are new to Medicare billing and/or have a difficult time distinguishing between new or established patient, then this webinar is for you! Register today!
Tuesday, February 4, 2014
Evaluation and Management Score Sheet #2
Upcoming Events
JH Part B Webinar Handout: "Evaluation and Management Score Sheet Part 2- Introduction to the Score Sheet"-February 12, 2014 (1:00pm-2:00pm CT)
Join us for "Part Two-Understanding the Score Sheet" of the new series on Evaluation and Management Services. This four part series was developed to increase your understanding of evaluation and management services. The complete series will be presented every month with one part each week. It is recommended to take the entire series in order to maximize your understanding. However, if you miss any part of the series, it will be presented again the following month in the same order.
The series will consist of the following:
•Week One-Part One- Understanding the Key components of Evaluation and Management.
•Week Two-Part Two- Introduction to the Score Sheet,
•Week Three- Part Three- Using the Score Sheet
•Week Four- Part Four- Scoring Medical Records Using the Score Sheet.
If you are new to documenting and/or scoring evaluation and management services, this webinar event is for you. You must attend this event. Don't miss it, register today!
JH Part B Webinar Handout: "Evaluation and Management Score Sheet Part 2- Introduction to the Score Sheet"-February 12, 2014 (1:00pm-2:00pm CT)
Join us for "Part Two-Understanding the Score Sheet" of the new series on Evaluation and Management Services. This four part series was developed to increase your understanding of evaluation and management services. The complete series will be presented every month with one part each week. It is recommended to take the entire series in order to maximize your understanding. However, if you miss any part of the series, it will be presented again the following month in the same order.
The series will consist of the following:
•Week One-Part One- Understanding the Key components of Evaluation and Management.
•Week Two-Part Two- Introduction to the Score Sheet,
•Week Three- Part Three- Using the Score Sheet
•Week Four- Part Four- Scoring Medical Records Using the Score Sheet.
If you are new to documenting and/or scoring evaluation and management services, this webinar event is for you. You must attend this event. Don't miss it, register today!
QHi Back to Basics 02.26.14
The following event has been added to PiHQ: Partners in Healthcare Quality:
Event: QHi Back to Basics 022614
Location: Webinar/Conference Call
Starts At: Feb. 26, 2014 2:00 PM Central Time
Ends At: Feb. 26, 2014 3:00 PM
Information: All QHi participants are invited to join our next QHi Back to Basics Session scheduled for Wednesday, February 26 at 2:00 PM Central Time. We will walk through the live site demonstrating the basics of using the on line tool including measure selection, data submission and explore the many reporting opportunities available in QHi. A Q and A will follow, so bring questions for peers. Please go to https://cc.readytalk.com/r/ffgfoms9lflr&eom to register for the free webinar.
Monday, February 3, 2014
Delayed implementation of the 2 midnight Benchmark Policy
CMS announced that it would delay its full implementation of the 2 midnight Benchmark policy from March 31, 2014 to September 30, 2014. CMS will continue its partial-enforcement but it means during this period Recovery Auditors and other Medicare review contractors will not conduct post-payment patient status reviews of inpatient hospital claims with dates of admission on or after October 1, 2013 through October 1, 2014. CMS will still conduct its educational efforts on this policy.
Hospital Inpatient Admission Order and Certifications
CMS issued further guidance yesterday on Hospital Inpatient Admission Order and Certifications. Particularly, CMS clarified certain aspects of the 96 Hour certification requirement for Critical Access Hospitals (CAH). Of particular interest, CMS stated in this guidance:
If a physician certifies in good faith that an individual may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the CAH and something unforeseen occurs that causes the individual to stay longer at the CAH, there
would not be a problem with regards to the CAH designation as long as that individual's stay does not cause the CAH to exceed its 96-hour annual average condition of participation requirement. However, if a physician cannot in good faith certify that an individual may reasonably be expected to be discharged or transferred within 96 hours after admission to the CAH, the CAH will not receive Medicare reimbursement for any portion of that individual's inpatient stay.
This answers the question as to what happens with stays that exceed 96 hours that are unexpected. However, this guidance does nothing to help CAH's that have developed service lines that treat higher acuity patients and places these facilities at risk for the cost of the entire hospital stay per the last sentence.
If a physician certifies in good faith that an individual may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the CAH and something unforeseen occurs that causes the individual to stay longer at the CAH, there
would not be a problem with regards to the CAH designation as long as that individual's stay does not cause the CAH to exceed its 96-hour annual average condition of participation requirement. However, if a physician cannot in good faith certify that an individual may reasonably be expected to be discharged or transferred within 96 hours after admission to the CAH, the CAH will not receive Medicare reimbursement for any portion of that individual's inpatient stay.
This answers the question as to what happens with stays that exceed 96 hours that are unexpected. However, this guidance does nothing to help CAH's that have developed service lines that treat higher acuity patients and places these facilities at risk for the cost of the entire hospital stay per the last sentence.
CMS Open Door Forum
As a reminder, CMS is hosting a follow-up Open Door Forum (ODF) call on Tuesday, Feb. 4, 2014 at 1:00 pm to 2:00 pm ET. This will be a follow-up call to allow hospitals, practitioners and others to ask questions on the physician order and physician certification, 2 midnight benchmark for inpatient hospital admissions and medical review criteria that were released in Aug., 2013 and January 31, 2014.
This is a conference call only. If you wish to participate, dial: (877) 251-0301 & Conference ID: 47736519.
This is a conference call only. If you wish to participate, dial: (877) 251-0301 & Conference ID: 47736519.
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