Welcome to the Revenue Cycle Advisor Website!

July 11, 2019
Medicare Insider

This week's note from the instructor addresses some of the issues arising from the start of a new Quality Improvement Organization (QIO) contracting cycle. 

July 15, 2019
Medicare Web

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

July 15, 2019
Briefings on HIPAA

Large-scale data breaches in the healthcare industry show no sign of decreasing. In this mid-year recap, we discuss the largest breach of 2019.

July 15, 2019
Medicare Web

CMS proposed one mandatory and four voluntary alternative payment models (APM) for Medicare beneficiaries who receive treatment for chronic kidney disease and end-stage renal disease.

July 12, 2019
Medicare Web

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is key to revenue integrity success. Understanding its benefits and limits is important for any successful revenue integrity program.

July 12, 2019
Medicare Web

Q: What is the appropriate ICD-10-CM code assignment for acute cellulitis in a patient with Type 2 diabetes?

July 12, 2019
Medicare Web

The Nemadji Research Corp., a patient eligibility and billing service based in Minnesota, announced that the protected health information of thousands of patients may have been exposed earlier this year after a Nemadji employee fell victim to a phishing attack.

July 11, 2019
Medicare Insider

This week's note from the instructor addresses some of the issues arising from the start of a new Quality Improvement Organization (QIO) contracting cycle. 

July 11, 2019
Medicare Web

Q: If I provide telehealth services to patients using video conferencing, how can I make sure these video sessions are compliant with HIPAA’s Security Rule?

July 10, 2019
Medicare Web

Q: Are there any extra considerations case managers should take into account when helping care for a patient who is an immigrant? 

July 10, 2019
HIM Briefings

Use this updated tool to stay current with Joint Commission surveys and as a reference for EHR documentation requirements.

July 10, 2019
Medicare Insider

This week’s Medicare updates include a decision memo for an ambulatory blood pressure monitoring NCD, another extension of enforcement discretion for the laboratory date of service exception policy, a fact sheet on proper billing processes for DMEPOS items delivered to inpatients, and more!

July 10, 2019
Medicare Web

Accountable care organizations (ACO) avoid downside risk contracts even though the number of ACO contracts and ACOs with multiple contracts have grown, according to a recent study. The study authors suggest that stronger incentives to take on downside risk are necessary to ensure the success of the ACO model.