Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency
What are the hot topics from last week on the audit front? Medicare and Medicare Advantage claims are being denied for a misunderstanding of the “Medicare Week”. Denials occur when the service delivery exceeds the Physician Ordered frequency of treatment.
What is the Medicare week? Is it Sunday to the following Saturday? Depicted by facility specific policy? Or some misconstrued term that evolved over the years like camp fire ghost stories.