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 20, 2019
Medicare Web

Q: Do you have any tips for developing a hospital case management model that we can use to evaluate effectiveness across all levels of care?

February 20, 2019
Medicare Insider

This week’s Medicare updates include a proposed decision memo on coverage for CAR T-Cell therapy, an updated OIG work plan, the announcement of a new emergency services payment model, and more! 

February 20, 2019
HIM Briefings

Create a concurrent coding program that brings coding and CDI together to maximize success.

February 20, 2019
Medicare Web

CMS is seeking comments on a proposed coverage with evidence development for chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or refractory cancer when prescribed by the treating oncologist.

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.