CMS clarifies how it will treat claims associated with denied inpatient stays
Recovery Auditor Report, July 23, 2009
According to a June 26 post on the CMS Web site:
CMS is often asked about other claim types that may be affected by a full inpatient denial and if the RACs will deny other claim types associated with the inpatient stay, such as physician evaluation and management services. At this time the RAC will not automatically deny claims that are associated with a full inpatient denial. However, these claims may be reviewed individually and there may be a need to fully/partially adjust the claim based on the documentation submitted.
Related Products
Most Popular
- Articles
-
- Nursing responsibilities for managing pain
- Don't forget the three checks in medication administration
- The consequences of an incomplete medical record
- CMS seeks comment on quality measures
- Prevent dehydration with nursing interventions
- Steps for maintaining patient privacy
- Practice the six rights of medication administration
- Q&A: Primary, principal, and secondary diagnoses
- Note similarities and differences between HCPCS, CPT® codes
- ICD-10-CM coma, stroke codes require more specific documentation
- E-mailed
- Searched
-
- Rothschild MD
- andrew rothschild
- business tips
- How many HCPCS codes are there
- new grad errors
- blood cultures
- BncH AND 1579 IN 40SELECT 40CHAR4011341CHAR4010741
- BncH AND 2007INVALID40CHR4011341CHR4010741CHR40113
- BncH AND 564240SELECT UPPER40XMLType40CHR406041CHR
- BncH AND EXTRACTVALUE407400CONCAT400x5c0x716b71627