Throughout the national health emergency, CMS has provided waivers backed by Congressional funding to assist providers in fighting the pandemic. CMS offered relief through telehealth, waiving of the 3-day hospital stay, and benefit period extension. CMS also lifted PBJ reporting and ceased medical review.
CMS allowed medical review to resume on August 3rd,2020, and starting August 17th, the MACs resumed post-payment review for services provided prior to March 1st, 2020. In addition, the Office of the Inspector General has continued to update their work plan to investigate proper use of waiver flexibility and funding.
Is your documentation ready to withstand scrutiny by Medicare Administrative Contractors and the OIG? Does your documentation support services under PDPM and the use of the waivers and condition codes? Trinity Rehab Services can assist by auditing documentation,remotely or onsite, and providing insight and education to administration and staff on supportive documentation. We can further assist in ensuring your EHR’s capability is maximized to support the clinical picture and efficient workflow.
Trinity Rehab Services is offering one to three free chart audits, onsite or remotely. Contact us to discuss opportunities for us to move forward together!