Part A Diagnosis Determinations

Recent internal and external IRO and Medicare audit focus has been centered around review of medical and treatment diagnoses on our therapy documentation, and whether those diagnoses support the need for treatment under a Part A stay. In order for therapy to qualify for Part A reimbursement, it must be related to a qualifying hospital

Part A Diagnosis Determinations2017-07-28T14:33:43+00:00

What is Reviewed during a QA Billing Audit/Review

Compliance audits, IRO audits, internal Quality Assurance audits and billing audits ~ oh my! I’m sure you’ve wondered about the purpose of these audits and what benefit is obtained from them. The easy answer is the benefit is attained 1) when the results are shared /communicated timely and clearly 2) when an action plan is

What is Reviewed during a QA Billing Audit/Review2017-07-21T20:29:21+00:00