Revenue Cycle News and Analysis

August 13, 2020
Medicare Insider

This week's note from the instructor discusses the impact of the proposed relative value unit (RVU) changes in the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule.

August 14, 2020
Medicare Web

Q: We have patients being admitted for novel coronavirus (COVID-19) and most of them have a laundry list of various manifestations and complications. Do all manifestations and complications need to be reported in ICD-10-CM?

August 13, 2020
Medicare Web

Q: As sports leagues attempt to make their return, many are going to be using daily COVID-19 testing as part of their protocol. Obviously, the leagues need to quarantine any individual who tests positive for the virus. But why is the covered entity that is performing the testing allowed to disclose a patient’s test results to the leagues?

August 13, 2020
Case Management Monthly

As the COVID-19 pandemic has surged, hospitals and healthcare providers have increasingly taken advantage of technology to provide routine care to patients and monitor them after discharge.

August 13, 2020
Medicare Insider

This week's note from the instructor discusses the impact of the proposed relative value unit (RVU) changes in the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule.

August 12, 2020
Medicare Web

Q: How can case managers help patients, especially those dealing with chronic diseases such as diabetes, access care during the novel coronavirus (COVID-19) pandemic?

August 12, 2020
HIM Briefings

Staying on top of coding guidelines for infectious diseases has never been more critical—or challenging. Review these questions on ICD-10-CM/PCS documentation and coding for infectious diseases including COVID-19, HIV, and related procedures.

August 12, 2020
Medicare Web

CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.

August 12, 2020
Medicare Insider

This week’s Medicare updates include the 2021 Quality Payment Program proposed rule, new FAQs regarding COVID-19 topics, the October update to the clinical laboratory fee schedule, and more!

August 11, 2020
Medicare Web

Walgreen Co., the second largest pharmacy chain in the United States, recently reported a breach that may have involved the protected health information (PHI) of more than 72,000 individuals, according to data in the Office for Civil Rights (OCR) breach portal.

August 10, 2020
Medicare Web

CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021.

August 10, 2020
Medicare Web

Q: Are commercial payers allowed to conduct a pre- and post-payment review of the same claim?

August 10, 2020
Briefings on HIPAA

The novel coronavirus (COVID-19) pandemic upended the U.S. healthcare system in innumerable ways. Experts believe the new post-COVID-19 normal will not be exactly the same as it was pre-pandemic. For one, telehealth is here to stay.