Welcome to the Revenue Cycle Advisor Website!

October 11, 2018
Medicare Insider

This week's note from the instructor provides and overview of some of the key corrections to the 2019 Inpatient Prospective Payment System (IPPS) final rule. 

October 16, 2018
Medicare Web

The United States Small-Area Life Expectancy Project (USALEEP) is a public health project measuring life expectancy at birth for nearly every neighborhood in the country. USALEEP data provide community health insights and show that not everyone has the same opportunity to be healthy where they live.

October 15, 2018
Briefings on HIPAA

After two delays, the revisions to Federal Policy for the Protection for Human Subjects (45 CFR 46), also known as the “Common Rule,” will now go into effect January 21, 2019.

October 15, 2018
Medicare Web

Q: How can we help our physicians improve their documentation of medical necessity?

October 15, 2018

Findings from a retrospective study conducted by researchers at Johns Hopkins University School of Medicine in Baltimore show that the number of upcoded cases for patients who underwent gastrointestinal surgeries increased over a ten-year period. Upcoded cases were also significantly correlated with higher inpatient costs.

October 12, 2018
Case Management Monthly

Medicare beneficiaries who received transitional care services from physicians after they were discharged home from a healthcare organization had lower costs and were less likely to die in the month that followed than those who didn’t, according to a new study.

October 12, 2018
Medicare Web

Q: I know the -X{EPSU} modifiers are not yet required by CMS, but in what instance would modifier -XU (unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service) be justified instead of modifier -59 (distinct procedural service)?

October 12, 2018
Medicare Web

The University of Michigan Medicine is notifying approximately 3,700 patients about a mailing error that resulted in letters containing personal health information to be sent to the wrong patients.

October 11, 2018
Medicare Web

Q: When I returned to work after being out for a month on short-term disability, I was disciplined because of my doctor's excuse, which I only gave to medical but somehow was released to the human resources (HR) department. Could this release of my medical information to HR be a HIPAA violation?

October 11, 2018
Medicare Insider

This week's note from the instructor provides and overview of some of the key corrections to the 2019 Inpatient Prospective Payment System (IPPS) final rule. 

October 10, 2018
Medicare Web

Q: Do you have any advice or tools for screening patients for depression?

October 10, 2018
HIM Briefings

Get a comprehensive analysis of MS-DRG changes for 2019.

October 10, 2018
Medicare Web

By Tracey A. Tomak, PMP, RHIA

It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium, and I couldn’t be more excited. I attended and presented at last year’s symposium and came back with a wealth of information to share with my colleagues.