Revenue Cycle News and Analysis

August 6, 2020
Medicare Insider

This week's note from the instructor takes a first look at the 2021 Outpatient Prospective Payment System (OPPS) proposed rule and the possibility of sunsetting the inpatient-only list. 

August 10, 2020
Medicare Web

Q: Are commercial payers allowed to conduct a pre- and post-payment review of the same claim?

August 10, 2020
Briefings on HIPAA

The novel coronavirus (COVID-19) pandemic upended the U.S. healthcare system in innumerable ways. Experts believe the new post-COVID-19 normal will not be exactly the same as it was pre-pandemic. For one, telehealth is here to stay.

August 10, 2020
Medicare Web

CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021.

August 7, 2020
Case Management Monthly

Helping patients with diabetes manage their care and avoid preventable readmissions is challenging under normal circumstances, but even more so during the COVID-19 pandemic.

August 6, 2020
Medicare Web

Q: I have read recently about the uptick in “vishing,” or voicemail messaging scams, targeting remote healthcare workers. What are your recommendations for protecting against this type of threat?

August 6, 2020
Medicare Web

Q: When would it be appropriate to report CPT® add-on code 90785 (interactive complexity)?

August 6, 2020
Medicare Insider

This week's note from the instructor takes a first look at the 2021 Outpatient Prospective Payment System (OPPS) proposed rule and the possibility of sunsetting the inpatient-only list. 

August 5, 2020
Medicare Web

Organizations may bill Medicare for isolation and quarantine counseling provided to patients being tested for the novel coronavirus (COVID-19).

August 5, 2020
Medicare Insider

This week’s Medicare updates include the release of the Skilled Nursing Facility Prospective Payment System final rule, new ICD-10-PCS codes for therapeutic COVID-19 treatments, the Inpatient Psychiatric Facility Prospective Payment System final rule, and more!

August 5, 2020
HIM Briefings

Several recent changes affect hospitals’ 340B programs. Follow these eight tips to review and optimize your hospital’s 340B program.

August 5, 2020
Medicare Web

Q: Beginning in July, prior authorization is needed for certain hospital outpatient services such as blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. Going forward, how should hospitals approach this change?

August 4, 2020
Medicare Web

Lifespan Health System, a Rhode Island-based healthcare provider, agreed to pay $1.04 million to the Office for Civil Rights (OCR) and implement a corrective action plan to settle potential HIPAA violations, OCR announced on July 27.