Welcome to the Revenue Cycle Advisor Website!

April 18, 2019
Medicare Insider

This week's note from the instructor discusses some of the challenges associated with the device offset rules under the OPPS. 

April 18, 2019
Medicare Web

Q: If a patient requests copies of his or her medical record, which is allowed by the Privacy Rule, is the patient required to pay for the copies?

April 18, 2019
Medicare Insider

This week's note from the instructor discusses some of the challenges associated with the device offset rules under the OPPS. 

April 17, 2019
Medicare Insider

This week’s Medicare updates include a final rule introducing new benefits for Medicare Advantage, details on a nationwide Medicare brace scam, a proposed decision memo for ambulatory blood pressure monitoring, and more!  

April 17, 2019
HIM Briefings

AHIMA and ACDIS recently updated their collaborative practice brief “Guidelines for Achieving a Compliant Query Practice.” Learn what’s new and what you need to do.

April 17, 2019
Medicare Web

CMS will expand coverage of telehealth services under Medicare Advantage effective January 1, 2020.

April 17, 2019
Medicare Web

Q: Do you have any advice for helping a case management team improve workflows between the inpatient and ambulatory setting?

April 16, 2019
Medicare Web

Courtesy of the prevalence of traumatic brain injuries in the military and across sports, this diagnosis has hit the mainstream, and case managers are challenged by a vast range of circumstances and factors they must take into consideration.

April 15, 2019
Medicare Web

Q: What are the recommended key performance indicators to include on a payer scorecard?

April 15, 2019
Medicare Web

Provider participation in the BPCI Advanced program fell by 16% between October 1, 2018, and March 1, 2019, at the initiation of the risk-bearing phase of the voluntary payment program. Overall participation includes nearly 1,300 providers still participating, according to CMS.

April 15, 2019
Briefings on HIPAA

Once you understand the basics of privacy and disclosure of PHI under HIPAA, strive to keep staff trained. According to Section 164.530 (b) of the Privacy Rule, a covered entity must train all members of their workforce on the policies and procedures with respect to PHI as necessary and appropriate.

April 12, 2019
Medicare Web

CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.

April 12, 2019
Case Management Monthly

Are you double-checking that your patients being discharged to skilled nursing facilities (SNF) meet the three-day inpatient stay requirement? You might want to take a closer look if you aren’t, in light of a February report from the Office of Inspector General that found CMS paid out potentially millions of dollars for beneficiary stays that didn’t qualify under the rule.