News & Analysis

April 6, 2016
Medicare Insider

This week’s updates include reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice; Changes to the laboratory NCD edit software for July 2016; and more!

April 6, 2016
News & Insights

Q: Did CMS ever add the drug screening HCPCS codes to the system so we can process these claims?

 

April 6, 2016
Medicare Insider

There are two newly approved Recovery Auditor issues.

April 5, 2016
News & Insights

Q: Rural health clinics have to start to bill all services on individual lines with HCPCS codes and charges. Is there a way to report these services on a separate line without the appearance of inflating our charges? 

April 1, 2016
HIM Briefings

Last year, as ICD-10 implementation approached, organizations throughout the U.S. reported varying levels of comfort with regard to readiness and understanding of the impact of ICD-10 on physician workflow. For some, it was business as usual. For other physicians, ICD-10 became one more check box on the list of reasons to leave practice.

April 1, 2016
Case Management Monthly

All readmissions are not created equal.

Research shows that ethnic and racial minorities may wind up back in the hospital after discharge more often than their white counterparts for certain conditions, such as pneumonia and heart failure. This increased rate of readmissions is due to many factors, including:

  • A higher incidence of some chronic diseases
  • Social, economic, cultural, and linguistic barriers to care

 

CMS is hoping to change that with a new publication, "Guide to Preventing Readmissions Among Racially and Ethnically Diverse Beneficiaries." Its authors said that the guide aims to accomplish three main goals:

  1. Providing an overview of the issues that can lead to higher readmission rates among this group
  2. Outlining actions hospital leaders can take to reduce these avoidable readmissions
  3. Providing case studies and examples of initiatives that have worked to reduce readmissions among racial and ethnically diverse Medicare beneficiaries

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