Hospital Billing Updates

Your facility must make realistic projections for possible losses. Remember:  Hospitals are just trying to hold on to their full pay as opposed to receiving any extra pay.
On April 30, 2014, CMS issued a proposed rule to update Medicare payment policies in 2015 for inpatient stays at general acute care and long term care hospitals, with an aim to promote quality and reduce healthcare costs. Here’s what your hospital needs...

The appropriate critical care codes are determined by the physician’s total time.
On-target provider documentation is critical to reimbursement – more specifically for time-based codes for services such as critical care. Auditors are increasingly cynical of generic documentation that’s not specific to the patient or encounter. Using...

CMS does not expressly mention that the physician must see the patient on the discharge date in order to bill a discharge code. Watch your steps for next day discharge.
Reporting discharged services are not as straightforward as they seem; even skilled coders don’t get it right sometimes. Staying clear of these four common mistakes in your facility claims can save you thousands of dollars....

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