Revenue Cycle News and Analysis

January 21, 2021
Medicare Insider

This week's note from the instructor focus on billing processes for alternative ways of delivering basic hospital outpatient services during the COVID-19 PHE. 

January 22, 2021
Case Management Monthly

Case management directors across the country are facing different situations when it comes to case manager recruitment and retention. There is wide variation in how the novel coronavirus (COVID-19) pandemic has impacted hospitals and case management departments.

January 22, 2021
Medicare Web

Q: Is there ICD-10-CM sequencing guidance for a patient who had a hemorrhagic stroke and then a seizure without a pre-existing seizure disorder? Would it be appropriate to report epilepsy, and are there any inclusion terms we should be aware of?

January 21, 2021
Medicare Insider

This week's note from the instructor focus on billing processes for alternative ways of delivering basic hospital outpatient services during the COVID-19 PHE. 

January 21, 2021
Medicare Web

Q: If a patient writes his or her email address in an illegible fashion and the provider misreads it and then inadvertently sends appointment reminders and other communication to the wrong email address, is the provider at fault? What steps can be taken to avoid such a situation?

January 20, 2021
HIM Briefings

Correct coding for diseases of the blood can be difficult due to the lack of official guidance and the complexity of diagnosis. Clear up confusion by taking a closer look at these codes.

January 20, 2021
Medicare Web

Q: Telemedicine may not be the best fit for all patients. How can case managers help facilitate in-person visits for those patients that cannot engage in telemedicine visits?

January 20, 2021
Medicare Insider

This week’s Medicare updates include the CMS pandemic plan, a final rule on Medicare coverage of innovative technology, a final rule on prior authorization process improvements, and more!

January 20, 2021
Medicare Web

Starting July 1, CMS will reprocess affected claims to pay them at 70% of the 2019 Outpatient Prospective Payment System rate.

January 19, 2021
Medicare Web

South County Health Alliance (SCHA), a health plan based out of Owatonna, Minnesota, reported a security breach on December 31 affecting 66,874 individuals, according to the Office for Civil Rights (OCR) breach report.

January 18, 2021
Medicare Web

The American Medical Association (AMA) recently released a free tool to help clinical staff determine appropriate CPT® and HCPCS Level II coding for COVID-19 vaccines and vaccine administration.

January 18, 2021
Briefings on HIPAA

Ever run into a vendor who claims to be a conduit versus a business associate (BA)? It happens all too often, in my experience. Here’s the problem: The conduit exception is a narrow one. If you’re storing protected health information (PHI), even encrypted PHI where you don’t have the encryption key, you’re a BA. Once you sign the business associate agreement (BAA), it applies to you.

January 18, 2021
Medicare Web

Q: Acute respiratory failure is consistently one of our top denied diagnoses. We've tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition?