Be prepared for a full-scale resumption of audits targeting the noncompliant reporting of implantable medical device credits, as well as outlier payments for outpatient device procedures.
Amid the continuing pandemic and its huge disruptions to healthcare, one of the bright spots in 2021 was an across-the-board moratorium on federal auditing activities. That’s changing in 2022. Big time. Every known auditing agency has indicated an intent to rev up provider scrutiny — and this definitely extends to reporting implantable medical device credits and managing patient accounts when such devices are billed. In short, medical device credits will once again become easy targets in all three major patient care settings: inpatient, outpatient and ambulatory surgery centers (ASCs).
Not as widely known is that the Office of the Inspector General (OIG) annual work plan is targeting outlier payments related to devices implanted in the outpatient space. You may not even realize you’re at risk because these outlier payments are typically received, posted and processed “under the radar” with little fanfare.
Back by popular demand, the 2022 edition of this exclusive RACmonitor webcast will cover the latest CMS requirements for these targeted services — empowering you to take steps to prevent repayments and fines.
Auditors of all kinds view the reporting of implantable device credits as low-hanging fruit. Now, heading into 2022, they’re eager to resume efforts to rectify improper payments. In addition, they’ll be aggressively pursuing the recoupment of inappropriate outlier payments for outpatient device procedures. It’s imperative to make sure your organization is fully complying with all CMS requirements and following best practices for device credit reporting.
C-suite executives; HIM directors, coding managers, staff and billers; revenue cycle personnel, including directors, managers and billers; revenue integrity analysts; compliance officers and specialists; auditors; operating room directors and managers; cardiac cath lab and invasive cardiology directors and managers; vascular lab directors and managers; interventional radiology directors and managers; neurosurgical personnel; and ASC directors.
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