This week’s Medicare updates include the End Stage Renal Disease Prospective Payment System final rule, an update to home health provisions in the Benefit Policy Manual to implement elements of the CARES Act, an OIG report on device credits, and more!
The 2021 Inpatient Prospective Payment System (IPPS) final rule ushered in a host of coding changes. Review new codes, MS-DRG updates, and other changes to ensure your organization is in compliance.
Q: For the purposes of determining a Medicare overpayment, should claims that we are uncertain whether they were appropriate be included? Is this defined under the False Claims Act (FCA)?
The complexity and competitiveness of today’s business environment require that organizations have early warning systems to identify times when they face certain risks. Compliance officers should be active participants in the organization’s risk assessment process.
