Medicare Compliance & Reimbursement
Surveyors' Notes Can Help You Win An Appeal
The CMS 2567 can say one thing, but if surveyors' notes offer a different view, your facility may have a foot in the door for winning an appeal.
When preparing for an appeal, ask for surveyors' actual notes and compare them to the statement of deficiencies (CMS 2567), suggests attorney Barbara Miltenberger with Husch & Eppenberger in Jefferson City, MO.
"Oftentimes, the notes show that surveyors have taken statements attributed to staff, residents, families and physicians out of context in the statement of deficiencies," Miltenberger says. And the full statements may convey an entirely different meaning than the excerpted parts.
For example: In a number of cases, Miltenberger has found surveyors' notes show they interviewed an equal number of people who presented an opposite picture of the one depicted by the CMS 2567.
Facilities can use discovery to obtain surveyors' notes in an appeal case, although most states will probably resist turning the notes over for an informal dispute resolution, adds attorney John Lessner with Ober/Kaler in Baltimore.
Advantage: "If the notes show that the surveyors took information out of context or misrepresented the facts on the CMS 2567, the facility can use that information as the impetus for getting the government to settle the case," says Lessner. "Or it will make great fodder for cross examination at the Departmental Appeals Board hearing," he adds.
Medicare Compliance & Reimbursement
- MEDICARE:
Mystery Solved? Your Patients With Multiple Conditions to Blame For Skyrocketing Medicare Spending
New study pegs obesity as major culprit as well.
Beneficiaries with three or more conditions accounted [...] - PREVENTIVE CARE:
Your Medicare Patients Can Get Better Preventive Care Coverage
Medicare benes not taking advantage of covered preventive services, screenings.
The day before economists Kenneth Thorpe [...] - HHAs:
Take A Tip From The Feds Regarding HHABNs
Telemonitoring exception is one plus for agencies.
The clock is ticking toward the Sept. 1 effective [...] - ASCs:
Patients Will Be Able To See Your Prices Online
More 'approved' procedures to come, along with major payment-system revamp.
The Centers for Medicare & Medicaid [...] - ED CODING:
Check Physician Notes Before Appealing Critical Care Claims
If you don't meet these documentation requirements, you will not win appeal.
When you receive a [...] - NURSING HOMES:
Surveyors' Notes Can Help You Win An Appeal
This strategy can ante up the 'rest of the story.'
The CMS 2567 can say one [...] - REIMBURSEMENT:
CMS Steps In to Mitigate Effect Of RAP Delay
Error can't be fixed this late in the game, feds say.
Home health agencies (HHAs) in [...] - INDUSTRY NOTES:
Shocking--QIOs Have Positive Impact On Providers, New Study Finds
Plus: Feds invest in building NHIN Infrastructure.
After enduring serious scrutiny from federal watchdog agencies and [...]
