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HCPro - Revenue Cycle Daily Advisor

CMS Issues Proposed Rule in Attempt to Reduce Medicare Appeals Backlog

Source: Medicare Compliance Watch

 

CMS has proposed changes to reduce its massive Medicare appeals backlog, which has been the subject of lawsuits and a recent Government Accountability Office report, with the goal of clearing outstanding appeals by 2021.


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Mid-year Update to OIG Work Plan

Source: Medicare Compliance Watch

 

The OIG’s Work Plan Mid-year Update is a summary of new and ongoing OIG reviews and activities. During FY 2016, it has focused its Medicare oversight efforts on identifying and offering recommendations to reduce improper payments, prevent and deter fraud, and foster economical payment policies.

 
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Distinguish Between Modifiers -73 and -74 for Discontinued Procedures

Source: JustCoding

 

Hospital coders can choose multiple modifiers to apply to a procedure code if the service was discontinued. Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H, provides an overview of these codes and in which instances to use them.

 
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Daily Q&A

Q&A: Emailing PHI to Patients

Source: Briefings on HIPAA

 

Q. If a patient requests that we send PHI to him or her via unsecure email, should we ask the patient to sign a waiver or other type of acknowledgment? What are our risks?

 

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Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

Upcoming CMS Events

 

Wednesday, 7/6 - Clinical Diagnostic Laboratory Test Payment System Final Rule Call

Thursday, 7/7 - Quality Measures and the IMPACT Act Call

Teusday, 7/12 - SNF Quality Reporting Program Call

Product Spotlight

The Essential CDI Guide to Provider Queries

 

The Essential CDI Guide to Provider Queries is the only resource that provides a comprehensive analysis of query guidelines and easy-to-follow strategies to improve your processes. Using the tools provided, you can update your practices to meet the challenges of ICD-10-CM/PCS, government payer initiatives, auditor denials, and electronic initiatives.


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