Revenue Cycle News and Analysis

October 21, 2021
Medicare Insider

This week's note from the instructor reviews the inpatient Part A lifetime reserve days and the process for notifying patients when they are about to exhaust their regular benefit days.

October 21, 2021
Medicare Insider

This week's note from the instructor reviews the inpatient Part A lifetime reserve days and the process for notifying patients when they are about to exhaust their regular benefit days.

October 20, 2021
Medicare Insider

This week’s Medicare updates include changes to place of service (POS) codes for telehealth, updated information on the use of the KX modifier for CAR T-Cell therapy, the release of the 2022 Medicare Advantage and Part D star ratings, and more!

October 20, 2021
HIM Briefings

A comprehensive mortality review program can bolster quality of care as well as coding and documentation accuracy. Learn how to make the case for developing or expanding mortality reviews.

October 14, 2021
Medicare Insider

This week's note from the instructor looks at how recent OIG audits of neurostimulator implantation payments could provide a framework for internal audit processes. 

October 13, 2021
HIM Briefings

Accurate HCC reporting must be supported by appropriate documentation and coding. Use these tips ensure complete, compliance HCC capture for wound care.

October 13, 2021
Medicare Insider

This week’s Medicare updates include a correction notice for the FY 2022 Inpatient Psychiatric Facility Prospective Payment System final rule, updated COVID-19 FAQs and guidance, an OIG review of Medicare payments for neurostimulator implantation surgeries, and more!

October 7, 2021
Medicare Insider

This week's note from the instructor explores the proposed changes to billing for therapy assistant services from the CY 2022 Medicare Physician Fee Schedule proposed rule.

October 6, 2021
Medicare Insider

This week’s Medicare updates include a final decision memo on an NCD for home use of oxygen to treat cluster headaches, a notice about CMS exercising enforcement discretion for certain SNF consolidated billing provisions, an interim final rule on new policies against surprise billing, and more! 

October 6, 2021
HIM Briefings

A pair of new rules require organizations to meet specific interoperability and patient access requirements but confusion about the rules and low awareness of the requirements hampers compliance efforts. Learn how your organization's compliance and implementation efforts compare to peers.

October 1, 2021
Briefings on APCs
October 1, 2021
Case Management Monthly

Case managers are charged with helping patients to navigate multiple challenges. But sometimes, their own preconceived notions may creep into care interactions and become a barrier.

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.