Just when you thought you were done learning all the new Evaluation and Management (E/M) Guidelines that were implemented in 2021 and 2023, hold on to your hats …. There are more changes coming. Not to worry though, they are minimal and do not involve a complete overhaul of the way E/M visits are coded. Looking back. In 2021, the codes for Office and Outpatient Evaluation and Management went from a system of counting elements…
On November 29, 2023, the OIG released an article issuing a background screening audit conducted in the State of Louisiana in May 2021. The OIG sampled 9 of 276 nursing homes, and a total of 286 employees. Out of the 286 employees, 77 were licensed staff. The audit showed all 9 nursing homes met federal and state regulations and 77 of the licensed staff did not have any disciplinary actions against them. However, the OIG…
The Patient-Driven Payment Model (PDPM) is the reimbursement methodology for Medicare Part A that has been implemented for Skilled Nursing Facilities (SNFs) since October 1, 2019. The PDPM was designed to improve the accuracy of Medicare reimbursement to SNFs by basing the payment on the patient’s clinical characteristics and care needs rather than on the therapy minutes provided. PDPM has complexities that should be considered. To ensure accurate reimbursement, it is imperative to correctly code…
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