New: 2011 October Edition of the Medicare Quarterly Provider Compliance Newsletter

• Recovery Audit Finding: Incorrect Facility vs. Non-Facility Reimbursement
• Recovery Audit Finding: Unbundling of Skilled Nursing Facility (SNF) Services Subject to Consolidated Billing
• Recovery Audit Finding: Wheelchair Unbundling
• Recovery Audit Finding: Improper Billing of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) During a Part A Inpatient Stay
• Recovery Audit Finding: Improper Billing of Clinical Social Work (CSW) Services during an Inpatient Hospital Stay
• Recovery Audit Finding: Validation of MS-DRGs With Ventilator Support of 96 or More Hours
• Recovery Audit Finding: Improper Coding of Medicare Severity-Diagnosis Related Group (MS-DRG) 853, Infectious and Parasitic Diseases with Operating Room (OR) Procedure and Major Complication or Comorbidity (MCC)
• Recovery Audit Finding: Improper Coding of Coronary Bypass with Percutaneous Transluminal Coronary Angioplasty (PTCA) with Major Complications and Comorbidities (MCCs) MS-DRGs 231, 233, 235
• Recovery Audit Finding: Improper Coding of Seizures – MS-DRGs 100, 101
• Recovery Audit Finding: Improper Coding of Nervous System Disorders
• Recovery Audit Finding: Improper Coding of Lymphoma and Non-Acute Leukemia with Major Complications/ Comorbidities (MCC)

More Items in October 2011

• Oct 28, 2011
  2 New Tutorials
• Oct 26, 2011
  New DRG Grouping data!
• Oct 13, 2011
  Is the Book Always Correct? No!
• Oct 11, 2011
  NEW: Enhanced ICD-9-CM Code Histories
• Oct 07, 2011
  August 2011 CPT® Assistant Available
• Oct 03, 2011
  Find-A-Code recently included in a Wall Street Journal (WSJ) article
• Oct 01, 2011
  Find-A-Code updated to 2011-Q4
• Oct 01, 2011
  New This Month (October 2011)

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