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 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 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 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
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 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
HIM Briefings

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

August 4, 2020
Medicare Web

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

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.

August 3, 2020
Briefings on HIPAA
August 3, 2020
Briefings on HIPAA

An organization’s privacy and security policies are only as effective as its training. All the right work can be done at the top level, but if the messages are not clearly disseminated to staff, an organization can find itself in a difficult position.

August 3, 2020
Medicare Web

Q: How does Medicare reimburse for home infusion therapy (HIT)?