Welcome to the Revenue Cycle Advisor Website!

December 5, 2019
Medicare Insider

This week's note from the instructor examines the impact of the Outpatient Prospective Payment System and Medicare Physician Fee Schedule final rules on critical access hospitals (CAH) and rural health clincis (RHC). 

December 5, 2019
Medicare Web

The American Hospital Association (AHA) and other hospital groups argue that the final rule is unlawful because it exceeds CMS' statutory authority.

December 5, 2019
Medicare Insider

This week's note from the instructor examines the impact of the Outpatient Prospective Payment System and Medicare Physician Fee Schedule final rules on critical access hospitals (CAH) and rural health clincis (RHC). 

December 5, 2019
Medicare Web

Q: Does a Notice of Privacy Practices (NPP) have to be included in a lobby or just handed out to patients during admission? What are good practices generally with the NPP?

December 4, 2019
HIM Briefings

Duplicate and overlaid medical records have a ripple effect on the entire revenue cycle—and the entire organization.

December 4, 2019
Medicare Insider

This week’s Medicare updates include the implementation transmittal for the 2020 Medicare Physician Fee Schedule, two Special Edition MLN Matters articles on the implementation of the Patient-Driven Groupings Model, home health billing compliance information, and more!

December 4, 2019
Medicare Web

Q: We're seeing more patients who are affected by food insecurity. Can you point us toward resources for how to help these patients?

December 4, 2019
Medicare Web

Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services, according to an Office of Inspector General (OIG) audit report released November 26. Based on the sample, the OIG estimates the hospital may have received at least $3.4 million in overpayments.

December 3, 2019
Medicare Web

The U.S. Department of Health and Human Services (HHS) increased civil monetary penalties for HIPAA administrative simplification violations on November 5 in accordance with the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015.  

December 2, 2019
Medicare Web

Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?

December 2, 2019
Medicare Web

The Centers for Disease Control and Prevention (CDC) updated its clinical guidance for diagnosing and treating electronic cigarette- or vaping-associated lung injuries (EVALI) in light of the approaching 2019-2020 flu season.

December 1, 2019
Briefings on APCs
December 1, 2019
HIM Briefings