Welcome to the Revenue Cycle Advisor Website!

December 12, 2019
Medicare Insider

This week's note from the instructor analyzes the impact of the 2020 updates to Medicare premiums, deductibles, coinsurance, and cost sharing amounts.

December 12, 2019
Medicare Web

Q: What is involved for a stepparent who lives with the legal guardian to access medical records?

December 12, 2019
Medicare Insider

This week's note from the instructor analyzes the impact of the 2020 updates to Medicare premiums, deductibles, coinsurance, and cost sharing amounts.

December 11, 2019
Medicare Web

Q: CMS' Primary Care First Model Options program begins in 2021, but what should our facility be considering now if we want to join?

December 11, 2019
HIM Briefings

Use these tips to craft targeted appeals letters for clinical and technical denials.

December 11, 2019
Medicare Web

The Medicare Payment Advisory Commission (MedPAC) reviewed two proposals to recommend an increase in hospital reimbursement in 2021, according to documents from its December 5 meeting.

December 11, 2019
Medicare Insider

This week’s Medicare updates include a fact sheet on opioid treatment programs, revisions to skilled nursing facility cost reports, the CY 2020 update to the DMEPOS fee schedule, and more!

December 10, 2019
Medicare Web

Healthcare Administrative Partners, a medical billing company in Pennsylvania that provides billing, coding, and practice management services to hospital-affiliated physician practices, recently notified 17,693 patients of a data breach that may have exposed their protected health information.   

December 9, 2019
Medicare Web

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

December 9, 2019
Medicare Web

Northwest Medical Center in Arizona received $201,624 from Medicare for incorrectly billed inpatient and outpatient services based on a sample of claims, according to a report released by the Office of Inspector General (OIG) on December 3. The OIG estimates that, based on the sample, the hospital may have received at least $1.2 million in overpayments during the audit period of January 1, 2016 through December 31, 2017.

December 6, 2019
Medicare Web

Q: What is the appropriate CPT code to use for ultrasound (US) guidance during an embryo transfer procedure? 

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 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.