Results from an Office of Inspector General (OIG) report on "CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements" Medicare paid a total of $17.6 million in telehealth payments in 2015, compared with $61,302 in 2001. Medicare telehealth payments include a professional fee, paid to the practitioner performing the service at a distant site, and an originating-site fee, paid to the facility where the beneficiary receives the service. A Medicare Payment Advisory Commission study of 2009 claims found that Medicare professional fee claims without associated claims for originating-site facility fees were more likely to be associated with unallowable telehealth payments. Full Summary is available at: https://oig.hhs.gov/oas/reports/region5/51600058.asp The 26 page report with recommendations is available at: https://oig.hhs.gov/oas/reports/region5/51600058.pdf string to locate report: Home > Reports & Pub...
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CMS has published the latest MLN catalog. As of today, it can be found here: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MLNCatalog.pdf if the link doesn't work in the future, do an internet search for: CMS MLN CATALOG APRIL 2018 Below is the Table of Contents
Provider Compliance Tips for Hospital Beds and Accessories MLN Fact Sheet ICN 909476 February 2018 PROVIDER TYPES AFFECTED Physicians and other practitioners who write requisitions or orders for hospital beds and accessories BACKGROUND The Medicare Fee-For-Service (FFS) improper payment rate for hospital beds and accessories for the 2017 reporting period was 78.5 percent, representing a projected improper payment amount of $66.2 million and accounting for 0.2 percent of the overall Medicare FFS improper payment rate. REASONS FOR DENIALS During the 2017 reporting period, the majority of improper payments for hospital beds and accessories were due to insufficient documentation. TO PREVENT DENIALS The following conditions must be met: 1. General Requirements for Coverage of Hospital Beds A physician’s prescription and such additional documentation as the Medicare Administrative Cont...
From the Noridian website: Examples of acceptable electronic signatures are, but not limited to: Chart ‘Accepted By' with provider's name ‘Electronically signed by' with provider's name ‘Verified by' with provider's name ‘Reviewed by' with provider's name ‘Released by' with provider's name ‘Signed by' with provider's name ‘Signed before import by' with provider's name ‘Signed: John Smith, M.D.' with provider's name Digitalized signature: Handwritten and scanned into the compute. ‘This is an electronically verified report by John Smith, M.D.' ‘Authenticated by John Smith, M.D.‘ ‘Authorized by: John Smith, M.D.‘ ‘Digital Signature: John Smith, M.D.‘ ‘Confirmed by' with provider's name ‘Closed by' with provider's name ‘Finalized by' with provider's name Note: ‘Signed but not read' is not acceptable Signature Requirement Questions...
This is a document from Noridian to outline all the documentation requirements for Jurisdiction E which covers California and a few other states. Preventive Services Documentation Requirements Initial Preventive Physical Examination (IPPE) Annual Wellness Visit (AWV) UPDATED OCT 20 2017 https://med.noridianmedicare. com/web/jeb/topics/preventive- services/documentation- requirements
https://datawarehouse.hrsa. gov/tools/analyzers/geo/ telehealth.aspx Use the above referenced web site to ch eck if an address is eligible for Medicare telehealth originating site* payment. *Authorized originating sites include: Offices of a Physician or Practitioner Hospitals Critical Access Hospitals Community Mental Health Centers Skilled Nursing Facilities Rural Health Clinics Federally Qualified Health Centers Hospital-Based or Critical Access Hospital (CAH)-Based Renal Dialysis Centers (including satellites) If address comes up as NO…that location cannot be originating site where the provider is located Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to t...