Welcome to the Revenue Cycle Advisor Website!

March 14, 2019
Medicare Insider

This week's note from the instructor uncovers a possible issue with the national jurisdiction of Noridian Healthcare Solutions as the sole Supplemental Medical Review Contractor (SMRC).

March 18, 2019
Medicare Web

Q: What statistics are recommended to include in denial summary reports?

March 18, 2019
Medicare Web

The American Medical Association’s (AMA) CPT Editorial Panel approved significant changes to E/M reporting guidelines, including the deletion of a visit code, creation of new criteria for the selection of a visit level, and overhaul of the medical decision-making (MDM) documentation guidelines at a meeting held in February, to align with recent E/M changes finalized by CMS.

March 18, 2019
Briefings on HIPAA

In this month's Product Watch, we look at a managed service provider (MSP) that offers HIPAA-compliant MSP services, managed security services, disaster recovery sites, and the technical support to help covered entities and business associates breathe easier

March 15, 2019
Medicare Web

According to report, at least 50 employees of Northwestern Memorial Hospital in Chicago were fired for accessing the medical record of actor Jussie Smollett without authorization.

March 15, 2019
Medicare Web

Q: We had a patient with hemorrhagic cystitis. Our preprocedural plan was a cystoscopy with a bladder biopsy and cauterization. How should this be reported in ICD-10-PCS? We are having trouble choosing between Control or another root operation, and we are getting different MS-DRGs depending how the procedure is reported.

March 15, 2019
Case Management Monthly

The disappearing MLN Matters® on total knee arthroplasty is back. CMS reissued it on January 24 with fixes to some—but not all—of the problems in the initial version.

March 14, 2019
Medicare Insider

This week's note from the instructor uncovers a possible issue with the national jurisdiction of Noridian Healthcare Solutions as the sole Supplemental Medical Review Contractor (SMRC).

March 14, 2019
Medicare Web

Q: I recently filed a complaint against my insurance company. The insurance agent who handles my case informed my boss that I filed a complaint against her. Now my boss is mad at me, and I feel like my job is at risk. Is this a HIPAA violation?

March 13, 2019
Medicare Web

A proposed rule from HHS’ Office of the National Coordinator for Health Information Technology (ONC) could mandate the publication of prices negotiated between payer and provider organizations as well as detailed information about Medicare reimbursement, DRG prices, and bundled prices.

March 13, 2019
HIM Briefings

Accurate and detailed medical documentation is critical for patient safety and to ensure payment for services rendered. Use these tips to keep clinical trials documentation compliant.

March 13, 2019
Medicare Insider

This week’s Medicare updates include comment dates for a proposed rule on interoperability and patient access, changes to the quality rating system for Nursing Home Compare, a fact sheet on the DMEPOS Competitive Bidding Program for 2021, and more! 

March 13, 2019
Medicare Web

Q: Do you have any advice for what to do when confronted with a duty-to-warn situation?