Welcome to the Revenue Cycle Advisor Website!

February 14, 2019
Medicare Insider

This week's note from the instructor is the first in a two-part series that discusses the intricacies of Medicare's inpatient hospital lifetime reserve days benefit and the challenges associated with it. 

February 19, 2019
Medicare Web

A financial assessment may be time-consuming and difficult, as many patients are reluctant to inform the case manager of the financial risks they face, but it is critical to assisting patients meet the most basic of needs.

February 18, 2019
Medicare Web

Q: How do we determine financial responsibility for denied managed care services?

February 18, 2019
Medicare Web

A retrospective study recently published in Pediatrics found that a statewide administrative database containing billing and coding information for newborn discharges accurately captured risk factors and outcomes for perinatal patients. This suggests that administrative databases may be effectively used to analyze performance metrics and accelerate data quality improvement efforts locally.

February 18, 2019
Briefings on HIPAA

Not only does your organization need  appropriate policies and procedures in place to comply with HIPAA, you also need to make sure that staff members follow those policies and procedures. It’s not an easy task, and each organization has its own way of auditing compliance.

February 15, 2019
Medicare Web

A settlement of up to $3.1 million has been reached in class action lawsuit involving one of the largest healthcare data breaches in history.

February 15, 2019
Case Management Monthly

A recent study published in Healh Affairs claims that reductions in readmission rates reported as due to the Hospital Readmissions Reduction Program (HRRP) are “illusory or overstated.”  

February 15, 2019
Medicare Web

Q: A physician performs a hemiarthroplasty for a hip fracture. Would this procedure be reported with CPT code 27125 (hemiarthroplasty, hip, partial [e.g., femoral stem prosthesis, bipolar arthroplasty])?

February 14, 2019
Medicare Insider

This week's note from the instructor is the first in a two-part series that discusses the intricacies of Medicare's inpatient hospital lifetime reserve days benefit and the challenges associated with it. 

February 14, 2019
Medicare Web

Q: My child’s school requires parents to send a doctor’s note when a student is out sick for more than two days. After providing this note for my child, their teacher spoke to me and mentioned information she could only have learned if she had read the note. Is this a HIPAA violation? Are schools covered by HIPAA if they request doctor's notes?

February 13, 2019
Medicare Web

Q: Do you have any advice on how to structure rounds for a hospital case management team?

February 13, 2019
Medicare Insider

This week’s Medicare updates include a transmittal implementing the new skilled nursing facility payment model, the introduction of a new app displaying Medicare coverage information, a transmittal about updates to provider enrollment policies, and more!

February 13, 2019
HIM Briefings

Use these tips to clarify when and how it’s appropriate to use modifier -25.