CMS to begin audits for schizophrenia coding, says citations will affect quality ratings
By
Alicia Lasek
Jan 19, 2023
The agency will start auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded. A pattern of inaccurate coding may result in a quality...
AHRQ offers new nursing home audit resources aimed at COVID prevention
By
Alicia Lasek
Apr 05, 2021
The Agency for Healthcare Research and Quality has released a comparison tool for differentiating competency checks vs. observational audits, and a step-by-step guide to help establish an effective observational...
Medicare audits ‘ramping up’ with isolation coding in the crosshairs
By
Josh Henreckson
Apr 22, 2024
Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn.
‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
Providers warned: Ongoing relief fund audits may bring unprecedented info demands
By
Joe Bush
Nov 21, 2022
Provider Relief Fund audits have started in earnest, with the threat of federal investigators demanding more and different data than most skilled nursing providers have ever been asked to account for.
Spring cleaning 2021: Will your rehab team pass the white-glove review?
By
Renee Kinder
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...