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Tag Archives: IPPS
Self-Administered Medication – Earned Revenue or Another Write Off
Caveat emptor et provisor [Let buyer and provider beware] Written by Bill Malm, ND CMAS CRCR Many facilities struggle with the implementation and collection of earned revenues from Self-Administered Medications (SAD.) SAD has had a litany of guidance made by … Continue reading
Posted in Academy Blog
Tagged appeal academy, auditing in healthcare, audits in healthcare, clinical audits, health audit, healthcare audits, inpatient, IPPS, medical audit, medical auditors, medical audits, medicare appeal, medicare audit, Medicare Part B, Medicare Part D, opps, outpatient, sad, self-adminstered drug
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“Finally Friday!” CMS Proposes the MOON & Other Changes for the NOTICE Act
FRIDAY May 13, 2016: “CMS Proposes the MOON & Other Changes to Implement the NOTICE Act“ A Proposed Rule Inside A Proposed Rule OR How CMS can defy Congress with a straight face Get the Handouts Sponsored by The Health … Continue reading
Posted in Finally Friday!
Tagged appeal academy, audit in healthcare, audit tools for healthcare, audit tools in healthcare, auditing in healthcare, audits in healthcare, clinical audit cycle, clinical auditing, clinical audits, finally friday, healthcare audits, inpatient, internal audit procedure, IPPS, medical audit, medical auditors, medical audits, medicare appeal, medicare audit, MOON, moon notice, NOTICE, NOTICE Act, opps, outpatient
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CMS Proposes MOON for the NOTICE Act in FY2017 IPPS Proposed Rule
One of many changes floated in the FY2017 IPPS Proposed Rule CMS introduced a standard notice to be given to observation patients after 24 hours as such, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational … Continue reading
Posted in Industry News
Tagged appeal academy, inpatient, inpatient status, IPPS, medical audit, medicare audit, moon notice, NOTICE Act, observation service
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CMS Offers the MOON to fulfill NOTICE requirements
CMS has developed a standard notice, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational elements necessary to fulfill the NOTICE Act’s written notice requirement. Continue reading
Posted in Academy Blog
Tagged appeal academy, inpatient, inpatient status, IPPS, medical audit, medicare audit, moon notice, NOTICE Act, observation service
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Via: CMS’s FY 2017 Proposed IPPS Rule: Key Takeaways
Key changes in the CMS FY 2017 Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). Continue reading
Posted in Industry News
Tagged 2017 ipps proposed rule, CMS, IPPS, IPPS proposed rule
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Via: CMS’s Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways
On April 18, 2016, CMS released its proposed rule [PDF] addressing new payment rates and policies under both the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), for fiscal year (FY) 2017. via … Continue reading
CMS Moves The Inpatient Benchmark to 48 Hours
CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading
Posted in Academy Blog
Tagged appeal academy, cert, cert report, CMS, cms rac, CMS-1599, frank cohen, inpatient status, inpatient status benchmark, IPPS, IPPS proposed rule
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