Health Information Management

Healthcare News: CMS posts January issue of provider compliance newsletter

JustCoding News: Inpatient, February 1, 2012

Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Inpatient!

The January issue of Medicare Quarterly Provider Compliance Newsletter (volume 2, issue 2) addressed a number of recovery audit findings.

The newsletter highlighted the following topics:

  • Ambulance services separately payable during an inpatient hospital stay
  • Billing for Arformoterol (Brovana® [J7605]) and Formoteral fumarate (Perforomist® [Q4099])
  • Diseases and disorders of the circulatory system
  • Lower limb suction valve prosthesis
  • Minor surgery and other treatment billed as inpatient stay
  • Respiratory system DRG 076; MS-DRGs 166, 167, 177, 178, and 179
  • Chronic obstructive pulmonary disease MS-DRG 190, 191, and 192 (medical necessity review and MS-DRG validation)—inappropriate and insufficient documentation
  • Overutilization of positive airway pressure and respiratory assist device accessories—improperly billed quantities

CMS intends for the quarterly newsletter to provide education on how to avoid common billing errors and other erroneous activities when dealing with the Medicare program. You may access previously issued newsletters on the CMS website.

Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Inpatient!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular