Revenue Cycle News and Analysis

September 20, 2022
Medicare Insider

This week’s Medicare updates include two updates to the OIG work plan, an updated emergency use authorization for the Pfizer and Moderna vaccines, details about a MEDCAC meeting to examine the requirements for clinical studies submitted for CMS coverage under Coverage with Evidence Development, and more! 

September 21, 2022
Briefings on HIPAA

Julia Huddleston, CIPP/US, CIPM, CCSFP, and Rebecca Herold, answer reader questions on a variety of HIPAA-related topics.

September 21, 2022
HIM Briefings

Bronchoscopy is a procedure that allows a pulmonologist to assess the lungs and air passages. Review ICD-10-PCS coding for bronchoscopy with bronchoalveolar lavage and suction of a mucus plug.

September 21, 2022
Briefings on APCs

Effective October 1, the ICD-10-CM code set will be updated to include over 1,100 new codes before counting code revisions and deletions. This article covers new codes for musculoskeletal and genitourinary conditions including muscle wasting, rib and sternal fractures, drug-induced neuropathy, and endometriosis.

September 21, 2022
Case Management Monthly

A report released last month by the American Hospital Association (AHA), called Commercial Health Plans’ Policies Compromise Patient Safety and Raise Costs, found that not only is the cost of private health insurance raising affordability issues for American consumers, but policies, such as prior authorization requirements, may increasingly be putting patients at risk and driving up hospital administrative costs.

September 20, 2022
Medicare Insider

This week’s Medicare updates include two updates to the OIG work plan, an updated emergency use authorization for the Pfizer and Moderna vaccines, details about a MEDCAC meeting to examine the requirements for clinical studies submitted for CMS coverage under Coverage with Evidence Development, and more! 

September 14, 2022
Medicare Insider

This week’s Medicare updates include the October update of the OPPS, the October I/OCE update, a revision to the manual regarding inpatient Part B services, and more!

September 14, 2022
Briefings on HIPAA

The Office for Civil Rights (OCR) recently announced version 3.3 of the HHS Security Risk Assessment Tool. According to OCR officials, this tool is designed to aid small and medium-sized healthcare organizations in their efforts to assess security risks.

September 14, 2022
HIM Briefings

The revenue cycle produces a wealth of data but connecting the dots between disparate datasets is a challenge. Consider these methods to evaluate tools to manage revenue cycle data.

September 14, 2022
Case Management Monthly

CMS issued the final rules for the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) on August 1 and, like the proposed 2023 OPPS proposed rule, there aren’t any big surprises this year.

September 14, 2022
Briefings on APCs

Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, writes about the 2023 updates coders will find in the “Mental, Behavioral, and Neurodevelopmental Disorders” chapter for dementia.

September 7, 2022
Case Management Monthly

The 2023 OPPS proposed rule is out, and it includes some minor changes to the inpatient-only list and a proposal for a new type of hospital. CMS will now host a public comment period through September 13 before finalizing the rule in early November.

September 7, 2022
Medicare Insider

This week’s Medicare updates include new information on billing for the Novavax vaccine, updates to COVID-19 emergency declaration blanket waiver details, an analysis of telehealth use for opioid use disorder during the pandemic, and more!