'Present on admission' rule makes documentation vital
Health Care Auditing Strategies, December 1, 2007
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Medicare doesn't want to pay hospitals to treat problems patients developed due to their stay at a medical facility. The focus on determining what medical conditions are present at the time a patient is admitted to a facility could pose major implications for hospital financial reimbursements, institutions' reputations, and the day-to-day operations of compliance and auditing professionals.
"It's a whole new era in healthcare, and there are no options except to learn the new rules and to utilize them correctly-through knowledge and compliance," says Betty B. Bibbins, MD, FACOG, CHC, CPEHR, CPHIT, president and chief medical officer of DocuComp, LLC, in St. Clairsville, OH.
A new policy
The change originates with a July 20 transmittal by the CMS (Transmittal 289, Change Request 5679).
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