Welcome to the Revenue Cycle Advisor Website!

April 26, 2017
Medicare Insider

This week's note from the instructor discusses the newly released 2018 IPPS propsed rule.

April 26, 2017
HIM Briefings

With the challenges and sometimes-abundant negativity everywhere we look, we can forget the privileges of a certification or degree in HIM. Take a moment to remind yourself of the reasons you're proud to be an HIM professional.

April 26, 2017
HIM Briefings

James S. Kennedy, MD, CCS, CDIP, CCDS, discusses DSM-5 and ICD-10-CM terminology for drug and alcohol use, abuse, and dependency.

April 26, 2017
Medicare Web

Q: We have started receiving rejections for claims with HCPCS code C1842 (retinal prosthesis, includes all internal and external components). We provide the service with the retinal implant and are confused why it's getting rejected.

April 26, 2017
HIM Briefings

Effective July 2016, as part of The Joint Commission’s Project REFRESH, the Medical Record Statistics form was retired for hospital accreditation surveys. Is it still important to monitor our medical records for presence, timeliness, legibility (paper or printed), accuracy, authentication, and completeness?

April 25, 2017
Medicare Web

A recent study revealed good news for hospitals taking advantage of one or more Medicare value-based reforms. Participation in Medicare programs that focus on improving quality and value of care can often lead to a larger reduction in 30-day readmissions, according to JAMA Internal Medicine.

April 25, 2017
Medicare Insider

This week’s Medicare updates includes new information on payment for moderate sedation services, influenza virus vaccine code implementation, new K codes for therapeutic continuous glucose monitors, and more!

April 25, 2017
Medicare Web

If my hospital submits an appeal to a payer and the payer upholds the denial, what next steps can we consider?

April 24, 2017
Briefings on HIPAA

An authorization generally applies when an organization wishes to use or disclose a patient’s protected health information for a purpose other than treatment, payment, or healthcare operations, or for legally required purposes. In this case, a patient must sign a HIPAA-compliant authorization form that specifically grants permission to the organization.

April 24, 2017
Briefings on HIPAA

Tips from this month's issue.

April 21, 2017
Medicare Web

Should a choice be given for all types of postacute care providers?

April 21, 2017
Case Management Monthly

Case management directors are held accountable to many metrics. But far too often, information about these metrics is not shared with staff. What a shame. If staff is to work smarter, they must be kept in the know. So, what is the best way to do this? Use the daily departmental huddle to review key metrics on a visual board. The huddle and review of the board should not last more than 15 minutes, but can serve a dual purpose if used correctly. For starters, it ensures staff is up to date with hospital metrics and identifies hot issues for the day. It also alerts case management leadership to case load issues so they can determine where help is needed.

April 21, 2017
Medicare Web

Metro Community Provider Network (MCPN), a federally-qualified health center (FQHC) in Denver, agreed to a $400,000 HIPAA breach settlement and corrective action plan.