Welcome to the Revenue Cycle Advisor Website!

May 17, 2018
Medicare Insider

This week's note from the instructor discusses ways to manage conflicting guidance from CMS regarding add-on code edits and avenues to explore when disputing these edits.

May 18, 2018
Medicare Web

Q: Our facility is interested in conducting audits for observation and drug administration services, but understand they should be considered differently from other services. What details should we take into account before we begin?

May 18, 2018
Case Management Monthly

It’s no secret that social factors can create sizable barriers for case managers who are working to prevent readmissions, plan for discharges, and meet length of stay targets. Unfortunately, government regulators often don’t factor these issues in when they are looking at quality measures. But that is starting to change.

May 17, 2018
Medicare Web

Q. Is it acceptable to dispose of shredded paper documents containing PHI in the regular trash, or must we still contract with a disposal company?

May 17, 2018
Medicare Web

Rita Luthra, MD, a gynecologist from Longmeadow, Massachusetts, was convicted on April 30 by a federal jury of one count of violation of HIPAA and one count of obstruction of a criminal health care investigation. 

May 17, 2018
Medicare Insider

This week's note from the instructor discusses ways to manage conflicting guidance from CMS regarding add-on code edits and avenues to explore when disputing these edits.

May 16, 2018
HIM Briefings

Creating and using performance standards benefits HIM directors and the many functions they oversee. But with such a wide range of tasks falling under the HIM umbrella, it can be challenging to set practical standards that yield meaningful results. Follow these tips to get the most of out of your department’s standards.

May 16, 2018
Medicare Web

What questions can case managers ask to determine health literacy?

May 16, 2018
Medicare Web

CMS is looking to reduce reporting and documentation requirements for inpatient rehabilitation facilities (IRF) in the 2019 IRF payment system proposed rule, published in the Federal Register May 8. The proposed changes could come as a relief to IRFs that have seen a significant uptick in audits and denials.

May 16, 2018
Medicare Insider

This week’s Medicare updates include an interim final rule on durable medical equipment fee schedule rates for rural and non-contiguous areas, an advisory opinion on a possible violation of the federal anti-kickback statute, a quarterly update for the clinical laboratory fee schedule, and more! 

May 15, 2018
Medicare Web

A diagnosis in the emergency department is not always guaranteed, but reframing patient encounters can ensure patient needs are met, according to a study in Annals of Emergency Medicine.

May 14, 2018
Medicare Web

What are some of the key differences between a centralized and decentralized approach to patient access staffing?

May 14, 2018

The Health Resources and Services Administration recently proposed to delay the implementation of a final rule for the 340B drug pricing program that could lead to fines for drug manufacturers from July 2018 to July 2019.