Revenue Cycle News and Analysis

April 8, 2021
Medicare Insider

This week's note from the instructor explores changes to rural health clinic (RHC) reimbursement as a result of provisions in the Consolidated Appropriations Act

April 13, 2021
Medicare Web

Hacking incidents in healthcare increased dramatically as organizations dealt with the novel coronavirus (COVID-19) pandemic throughout 2020, according to a recent report from Protenus, a Baltimore-based healthcare analytics company.

April 12, 2021
Medicare Web

Q: How does CMS calculate payments to rural health clinics (RHC) subject to the all-inclusive rate (AIR)?

April 12, 2021
Briefings on HIPAA

As ransomware attacks and phishing attempts persist in the age of the coronavirus (COVID-19), healthcare organizations have correctly poured many resources into combatting these attacks. However, as always, cybercriminals are finding new ways to access protected health information (PHI).

April 12, 2021
Medicare Web

Sunrise Hospital & Medical Center in Winchester, Nevada, submitted Medicare claims for rehabilitative services that did not comply with Medicare billing requirements, resulting in an estimated $23.6 million in overpayments submitted over a two-year period, according to an April Office of Inspector General (OIG) report.

April 9, 2021
Case Management Monthly

End-of-life and palliative care are growing areas of focus for many case managers due to the aging U.S. population. One important aspect of this care is related to pain management.

April 9, 2021
Medicare Web

Q: We have a patient admitted for COVID-19 who is now showing signs of cytokine release syndrome (CRS). Can you give our team more information on symptoms or clinical indicators for CRS as well as any ICD-10-CM coding advice?

April 8, 2021
Medicare Insider

This week's note from the instructor explores changes to rural health clinic (RHC) reimbursement as a result of provisions in the Consolidated Appropriations Act

April 8, 2021
Medicare Web

Q: Do companies such as FitBit (and others that sell wearable devices that track and store health information) need to abide by HIPAA regulations? Should I be concerned with how these companies are viewing and sharing my health information?

April 7, 2021
Medicare Web

CMS has begun recovering COVID-19 Accelerated and Advance Payments (CAAP), according to MLN Matters SE21004.

April 7, 2021
HIM Briefings

Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.

April 7, 2021
Medicare Insider

This week’s Medicare updates include the April update to the ambulatory surgical center payment system, information on COVID-19 Advanced and Accelerated Payment recoupment, an update on an issue with therapy claims, and more! 

April 7, 2021
Medicare Web

Q: We have heard that Medicare short-stay inpatient admissions may soon come under increasing audit scrutiny by Livanta, the Beneficiary and Family-Centered Care Quality Improvement Organizations that was awarded the nationwide contract for reviewing these admissions. What can we do to reduce our audit risk?