Health Information Management

Healthcare News: CMS releases MLN Medicare Quarterly Provider Compliance Newsletter

JustCoding News: Inpatient, May 23, 2012

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CMS released its latest MLN Medicare Quarterly Provider Compliance Newsletter in April. The newsletter features educational information for providers related to recent audit targets and findings.

Included in the latest issue are:

  • Comprehensive Error Rate Testing (CERT) audit findings:
    • Three-day qualifying hospital stay for skilled nursing facility stays
    • Inpatient hospital consultations
  • Recovery audit findings:
    • Cholecystectomy–Incorrect secondary diagnosis
    • Kidney and urinary tract disorders–Incorrect principal diagnosis
    • Transient ischemic attack–Services rendered in a medically unnecessary setting
    • Craniotomy and endovascular intracranial procedures
    • Small and large bowel procedures
    • Spinal fusion

Click here to access the free newsletter.



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