Medicare Compliance & Reimbursement
Don't Be Hesitant to C.U.S.S.
Sometimes you need a little extra oomph to get your point across.
When everything goes smoothly with your physician communication, the follow-up is easy. You can repeat orders back and ask for parameters as to when you should call back.
Tip: You may also want to ask for additional visits to follow up with an evaluation of the intervention, Mary Narayan, MSN, RN, HHCNS-BC, COS-C, with Narayan Associates in Vienna, Va.
But that’s in an ideal situation. If you aren’t happy with the physician’s response, you may need to take further action. For example, some physicians may cut you off right away and tell you to send a patient to the Emergency Room. With the added stress and exposure to infection, this isn’t always the best course of action for every patient, Narayan said. Instead, look to the C.U.S.S. format for help expressing your concerns:
Medicare Compliance & Reimbursement
- ICD-10 Readiness:
Don't Miss These Opportunities to Check Your ICD-10 Readiness
CMS is determined to ensure your successful transition to ICD-10. The Centers for Medicare & [...] - Home Health Communication:
Avoid Sentinel Events With Effective Communication
Summarize the patient’s situation using an SBAR. You can improve outcomes and decrease hospitalizations with [...] - Don't Be Hesitant to C.U.S.S.
Sometimes you need a little extra oomph to get your point across. When everything goes [...] - Part B Coding:
Get Official Guidance on These Tricky Compliance Issues
Tip: Knowing what not to do can make all the difference. Don’t depend on hearsay [...] - Tool:
SBAR Communication
SBAR Communication Outline - Home Health Reimbursement:
Get Claims Reviewed Without Going Through the Appeals Process
Home health agencies have something to cheer about. Good news: You can get some PECOS [...] - Reader Question:
Say Good-Bye to G8553 for E-Prescribing
Question: Is there a new code to show Medicare that we are e-prescribing in 2014? We [...] - Reader Question:
Know Your Best CCI Modifier Options
Question: Other than modifier 59 (Distinct procedural services), which other modifiers can I use to separate [...] - Industry Notes:
False Billings Lead to Mail Fraud Charge for Texas Physician
You’re aware of the fact that the government could charge you with Medicare fraud if [...]
