Welcome to the Revenue Cycle Advisor Website!

February 20, 2020
Medicare Insider

This week's note from the instructor discusses the new billing and coverage requirements for opioid treatment programs that went into effect January 1. 

February 21, 2020
Medicare Web

Q: Our coding department frequently has trouble reporting type 2 myocardial infarctions (MI). Can you share any coding and clinical criteria guidance?

February 21, 2020
Case Management Monthly

In January, CMS created something of a headache for hospitals by issuing new versions of three commonly used patient notification forms: the Medicare Outpatient Observation Notice (MOON), the Important Message from Medicare (IM), and the Detailed Notice of Discharge (DND).

February 20, 2020
Medicare Insider

This week's note from the instructor discusses the new billing and coverage requirements for opioid treatment programs that went into effect January 1. 

February 20, 2020
Medicare Web

Q: I have to fly to a conference for work. I was hoping to work on the way, at the airport and on the plane, but I sometimes need to access electronic PHI to get my work done. What should I do to ensure that I stay HIPAA compliant while traveling and working in public places?

February 19, 2020
Medicare Web

Q: I’ve heard about changes coming to the Important Message from Medicare (IM) form. How will these changes impact case managers?

February 19, 2020
Medicare Web

Sepsis hospitalizations are on the rise and cost Medicare more than $40 billion in 2018, according to a U.S. Department of Health and Human Services (HHS) study.

February 19, 2020
HIM Briefings

The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.

February 19, 2020
Medicare Insider

This week’s Medicare updates include an article on billing and payment provisions for therapy services under PDGM, an update to the list of DMEPOS items that require prior authorization, a new code to use for coronavirus lab tests, and more! 

February 18, 2020
Medicare Web

A recent audit conducted by the Office of Inspector General (OIG) found that the majority of healthcare providers reviewed used Medicare Part D eligibility information for potentially inappropriate purposes.

February 17, 2020
Medicare Web

Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent study published in JAMA

February 17, 2020
Medicare Web

Q: Does the physician have to state a patient's expected length of stay (LOS) in the documentation for an inpatient admission?

February 17, 2020
Briefings on HIPAA

Now that training gaps have been identified, training development can begin. Some topics to consider here are subject matter experts, training delivery method, and the use of outside vendors.