Welcome to the Revenue Cycle Advisor Website!

November 14, 2019
Medicare Insider

This week's note from the instructor explores considerations chargemaster coordinators should make regarding routine services in general medical/surgical units, specialty/intensive care units, and incidental nursing or bedside procedure charges. 

November 19, 2019
Medicare Web

The Office of Civil Rights (OCR) recently imposed a $1.6 million civil penalty against the Texas Health and Human Services Commission (TX HHSC) for a data breach that enabled unauthorized individuals to view the protected health information (PHI) of 6,617 individuals.

November 18, 2019
Medicare Web

Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final rule that pushed ahead with many of the requirements originally included in the 2020 OPPS proposed rule.

November 18, 2019
Medicare Web

Q: Can we bill separately for pulse oximetry?

November 15, 2019
Medicare Web

Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?

November 14, 2019
Medicare Web

Q: What are the HIPAA security concerns associated with voice-assisted offerings like Amazon Alexa?

November 14, 2019
Medicare Insider

This week's note from the instructor explores considerations chargemaster coordinators should make regarding routine services in general medical/surgical units, specialty/intensive care units, and incidental nursing or bedside procedure charges. 

November 13, 2019
Medicare Insider

This week’s Medicare updates include a fact sheet on HIPAA privacy requirements, enrollment information for opioid treatment programs, implementation of end-stage renal disease payment rate updates, and more! 

November 13, 2019
Medicare Web

Q: What strategies can a case manager use to reach patients who are unwilling to accept resources?

November 13, 2019
Medicare Web

The Patient-Driven Payment Model (PDPM) has so many nuances that can impact reimbursement that it is near impossible for SNFs to consider and capitalize on them all. Check your processes and procedures to ensure you’re taking advantage of or protecting against the following aspects of PDPM.   

November 13, 2019
HIM Briefings

Use these tips to create defendable queries, documentation, and coding.

November 12, 2019
Medicare Web

The University of Rochester Medical Center (URMC) recently paid a $3 million civil monetary penalty to the Office for Civil Rights for HIPAA violations that include failing to encrypt mobile devices. URMC is one of the largest health systems in New York with more than 26,000 employees.

November 11, 2019
Medicare Web

An August report from the Office of Inspector General (OIG) found that Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.