Welcome to the Revenue Cycle Advisor Website!

June 14, 2018
Medicare Insider

This week's note from the instructor outlines the possible payment pitfalls of a coding clarification CMS included in the July 2018 update to the Outpatient Prospective Payment System. 

June 15, 2018
Medicare Web

Q: I am confused about the difference between the laterality modifiers -LT (left side) and -RT (right side) and modifier -50 (bilateral procedure). Can you explain?

June 15, 2018
Case Management Monthly

Does your performance under the HRRP truly reflect the quality of care at your organization? There can be vast differences in 30-day hospital readmission rates for patients and conditions studied under the Medicare program, compared to other patients at an organization.

June 15, 2018
Medicare Web

HIPAA requires covered entities to protect and confidentially handle patients’ protected health information. Organizations must remain vigilant or they risk violating HIPAA

June 14, 2018
Medicare Insider

This week's note from the instructor outlines the possible payment pitfalls of a coding clarification CMS included in the July 2018 update to the Outpatient Prospective Payment System. 

June 14, 2018

Q: My doctor’s office recently hired medical scribes. I was not informed before my visit that another person would be in the exam room taking notes, and the scribe’s presence was not explained until I asked. Does HIPAA require my doctor to get my authorization before bringing a scribe into the room?

June 13, 2018
Medicare Insider

This week’s Medicare updates include an OIG study on increases in reimbursement totals for brand-name drugs in Part D, a Special Edition MLN Matters article on hospice billing and claims processing, the July 2018 quarterly update to the Durable Medical Equipment fee schedule, and more!   

June 13, 2018
Medicare Web

The recently released 2019 ICD-10-CM update adds some codes to allow additional diagnoses to be reported while adding others for greater specificity. The update includes more than 600 additions, deletions, and revisions.

June 13, 2018
Medicare Web

What guidelines can hospitals follow to establish ambulatory case management staffing ratios?

June 13, 2018
HIM Briefings

The proliferation of electronic systems, applications, and medical devices in healthcare creates challenges within and across organizations. With the ever-expanding uses of healthcare information, it is critical to understand the impact of big data and data analytics and the importance of information governance.

June 12, 2018
Medicare Web

Instances of hospital-acquired conditions declined 8% from 2014 through 2016, resulting in the prevention of approximately 8,000 patient deaths, according to data gathered by the Agency for Healthcare Quality and Research. The reduction in HACs led to a $2.9 billion healthcare spending decrease.

June 11, 2018
Medicare Web

Q: How can organizations develop a business case or plan for revenue integrity departments?

June 11, 2018
Briefings on HIPAA

Semantics often gets in the way when it comes to HIPAA Security Rule requirements—and the results can be costly mistakes for your organization in terms of wasted resources, not to mention not satisfying OCR. It’s time for your organization to get a grip on what exact security measures it’s performing.