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Wednesday, November 16, 2016

News

Hopkins-Allegheny Network Links Quality of Care, Supply Chain

Source: HealthLeaders Media

Clinicians are being enlisted to vet the health systems' purchases of the products and services they use for patient care.

Medicare Updates: This Week's Regulatory Changes

Source: Medicare Compliance Watch

This week’s Medicare updates include the release of the OIG 2017 Work Plan, a CMS memorandum regarding noncompliance of transplant centers, an OIG report on unallowable claims for outpatient physical therapy services, and more!

The Joint Commission Deletes 225 Standards

Source: HIM Briefings

The May 2016 issue of Perspectives outlined 225 hospital requirements from the accreditation manual—nine from the Information Management chapter and five from the Record of Care, Treatment and Services chapter—that have been deleted.

Daily Q&A

Q&A: Are CAHs Required to Use Modifier -JW?

Source: Medicare Compliance Watch

Q: We are a critical access hospital and don’t get paid under the OPPS. We get reimbursed based on our cost of procedures, tests and services. Is modifier –JW (drug amount discarded/not administered to any patient) applicable to us beginning in January?

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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, 11/16 - 2016 Hospital Appeals Settlement Call

Wednesday, 11/16 - Home Health, Hospice & Durable Medical Equipment Open Door Forum

Thursday, 11/17 - Skilled Nursing Facility (SNF)/Long Term Care (LTC) Open Door Forum

Wednesday, 11/30 - Medicare Diabetes Prevention Program Model Expansion Call

Product Spotlight

Social Work: Strength-Based Practice in Hospital Case Management

Social work is often misunderstood within the context of the overall healthcare setting as its definition, roles, and expectations vary from one facility to another. This book offers practical solutions for capitalizing on the strengths of social work and demonstrating measurable outcomes. It also offers suggestions for developing and supporting essential synergies between social work and multidisciplinary teams.

Free Resources

Medicare Compliance Watch Free Samples

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