Welcome to the Revenue Cycle Advisor Website!

May 17, 2017
Medicare Insider

This week's note from the instructor discusses some frequently asked questions and resources related to provider-based departments, including off-campus departments.

May 22, 2017
Briefings on HIPAA

There are many questions out there about what a managed service provider (MSP) should do for covered entities and business associates. There are different flavors of MSPs out there; therefore, it’s important to think about what your MSP will do for you and how to spot an MSP that may not be a good fit for your organization.

May 19, 2017
Case Management Monthly

Working in case management for years has taught me to use the ABCs in at least two tasks I perform daily. Not only are the ABCs useful in developing patient discharge plans, but they also help in setting my daily caseload priorities. How do they work?

May 19, 2017
Medicare Web

A ransomware attack launched May 12 crippled systems around the world and raised questions about the healthcare industry’s ability to withstand a massive cyberattack.

May 19, 2017
Medicare Web

Should a discharge planner know the average length of stay (ALOS) for specific Medicare severity diagnosis-related groups (MS-DRG)?

May 18, 2017
Medicare Web

Q: Is a covered entity required to see a copy of a business associate’s risk management and security plan? Do we need to have a copy of this in our files?

May 17, 2017
Medicare Web

Q: Based on CPT Assistant, CPT code 29874 (knee arthroscopy with removal of loose/foreign body) may be reported with modifier -59 (distinct procedural service) if performed in a separate compartment from procedures 29875-29881. This advice conflicts with NCCI edits between codes 29874 and 29880. Do the NCCI edits override the advice in CPT Assistant?

May 17, 2017
HIM Briefings

Reimbursement for provider-based departments (PBD) can be complex, and regulations affecting it have changed frequently over the past year. Section 603 of the Bipartisan Budget Act of 2015, the 2017 outpatient prospective payment system (OPPS) final rule, and the 21st Century Cures Act changed the payment methodology and made multiple adjustments to the definition of excepted (on-campus or grandfathered off-campus) and non-excepted (off-campus) PBDs. Hospitals must know the regulations inside and out and understand how they apply to their PBDs and to avoid denials or noncompliance.

May 17, 2017
Medicare Insider

This week's note from the instructor discusses some frequently asked questions and resources related to provider-based departments, including off-campus departments.

May 16, 2017
Medicare Web

How can hospitals determine if a separate procedure exception applies for inpatient-only procedures?

May 16, 2017
Medicare Web

Patients who participate in accountable care organizations (ACO) and care management teams may have fewer hospitalizations and ED visits and lower Medicare spending, according to a recent study in Health Affairs. Care management is a cornerstone of ACO interventions.

May 16, 2017
Medicare Insider

This week’s Medicare updates include new CLIA waved tests, changes to the payment policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly “Locum Tenens Arrangements”), implementation of modifier -CG for Type of Bill 72x, and more!

May 15, 2017
Briefings on HIPAA

Compiling the statistics for insider threats to patient privacy is easy. It’s the mitigation of these risks that takes time, strategy, and commitment. According to the January 2017 Protenus Breach Barometer, internal health system employees were responsible for 58.4% of breached patient data during January 2017.