Monday, July 24, 2017
10-10:30 a.m. ET; 7-7:30 a.m. PT
SPECIAL GUEST
Robin Zweifel, BS, MT(ASCP),
Panacea Healthcare Solutions
ALSO FEATURING
Janelle Ali-Dinar, PhD; Nancy Beckley, MS, MBA, CHC;
Ronald Hirsch, MD, FACP, CHCQM; David Glaser, Esq.;
and Edward Roche, PhD, JD
A North Carolina hospital system recently agreed to pay the federal government $6.5 million to resolve allegations that it violated the False Claims Act by “upcoding” claims for urine drug tests in order to receive higher payment than allowed. At issue were two different payments for two different codes – G0431 and G0434 – and the use of the QW modifier.
Reporting on our lead story during the next edition of Monitor Mondays, at the suggestion from a RACmonitor reader, will be Robin Zweifel with Panacea Healthcare Solutions. Zweifel, who writes extensively on drug and laboratory compliance issues, is expected to get to the bottom of this alleged upcoding predicament that other facilities are encountering as well.
The broadcast rundown also includes:
Register now for this readers-choice news broadcast coming your way on Monday, July 24, 2017 at 10 a.m. ET.
Monitor with us.™
Please log in to your account to comment on this article.
Dr. Ronald Hirsch provides tried-and-true strategies and insight into outpatient in hospital bed stays including determining the applicable definition, who uses it, and when and how to bill for this circumstance, solidified with concrete case examples and expert insight.
Practical solutions for CDM departments to protect your hospital’s revenue.
This webcast teaches hospitals how to comply with CMS price transparency rules and compare their rates with peer hospitals. It covers creating a compliant machine-readable file, comparing negotiated rates, and improving pricing decisions.
The No Surprises Act (NSA) presents a challenge for hospitals and providers who must provide Good Faith Estimates (GFEs) for all schedulable services for self-pay and uninsured patients. Compliance is necessary, but few hospitals have been able to fully comply with the requirements despite being a year into the NSA. This webcast provides an overview of the NSA/GFE policy, its impact, and a step-by-step process to adhere to the requirements and avoid non-compliance penalties.
This expert-guided webcast will showcase tips for providers to ensure appropriate capture of the work performed for a visit. Comprehensive examples will be given that demonstrate documentation gaps and how to educate providers on the documentation necessary to appropriately assign a level of service. You will gain clarification on answers regarding emergency department and urgent care coding circumstances as well as a review of how/when it is appropriate to code for E&M in radiology and more.
Set yourself up for financial and compliance success with expert guidance that breaks down the impactful changes including MS-DRG methodology, surgical hierarchy updates, and many new technology add-on payments (NTAPs). Identify areas of potential challenge ahead of time and master solutions for all 2024 Proposed IPPS changes.
Do you struggle with selecting and appending the correct modifier for your medical claims? Join our must-attend webinar, “Mastering Modifier Usage: Preventing Denials and Ensuring Compliance” to reduce claim denials and improve your reimbursement rates.
Kay Piper reviews the guidance and updates coders and CDISs on important information in the AHA’s fourth quarter 2023 ICD-10-CM/PCS Quarterly Coding Clinic in an easy to access on-demand webcast.
Copyright © 2023 ICD10monitor. Powered by MedLearn Media.
