Revenue Cycle News and Analysis

September 24, 2020
Medicare Insider

This week's note from the instructor reviews the FY 2021 updates to interoperability and other inpatient quality programs from the Inpatient Prospective Payment System (IPPS) final rule. 

September 25, 2020
Case Management Monthly

Rose has worked as a cardiology case manager at a hospital in the Southwest for the past 17 years. She enjoys her job and her patients. A significant portion of her patient population is comprised of a community of veterans. She knows that it is common for veterans to live near one other, as their shared war experiences provide a source of understanding and support not often available from civilians.

September 25, 2020
Medicare Web

Q: When would it be appropriate to report modifier -58 for a procedure performed during the postoperative period?

September 24, 2020
Medicare Web

Q: What are the most important elements to include in the breach notification letter?

September 24, 2020
Medicare Insider

This week's note from the instructor reviews the FY 2021 updates to interoperability and other inpatient quality programs from the Inpatient Prospective Payment System (IPPS) final rule. 

September 23, 2020
Medicare Web

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.

September 23, 2020
Medicare Insider

This week’s Medicare updates include the 2022 Medicare Advantage and Part D Advance Notice, the final report from the Coronavirus Commission on safety and quality in nursing homes, a final rule on new specialty care payment models, and more! 

September 23, 2020
Medicare Web

Q: A recent study by the California Lab Policy reported 50% of unsheltered individuals experience "tri-morbidity" (co-occurring physical health, mental health, and substance abuse challenges), compared to just 2% of sheltered individuals. What can case managers do to assist these patients?

September 23, 2020
HIM Briefings

A sound query process is essential to good documentation and correct coding. Find out how your organization’s query practices and CDI productivity compare to others.

September 22, 2020
Medicare Web

The Office for Civil Rights (OCR) announced on September 16 that it settled five investigations in its HIPAA Right of Access initiative.

September 21, 2020
Medicare Web

The use of chronic care management (CCM) CPT codes increased over a four-year period, but physicians infrequently reported codes for complex CCM, according to findings from a review of Medicare claims recently published in the Annals of Family Medicine.

September 21, 2020
Briefings on HIPAA

Q: We recently took a survey and many of our employees admitted to saving their passwords in a Word® document or a Notes® file on their phone. Is this riskier than having passwords written down on paper and stored in a safe place at work or home? How can we discourage employees from writing down their passwords anywhere?

September 21, 2020
Medicare Web

Q: What tasks and policies should be covered in a charge capture audit process?