Tuesday, November 1, 2016

News

Insurers, Hospitals Clash Over Help Paying Obamacare Premiums
Source: HealthLeaders Media
Premium assistance programs are under fire from insurers. They argue that it is not fair for hospitals to try to steer people who could be covered by Medicare or Medicaid into marketplace plans with higher reimbursement rates.
Commonwealth Fund Study Shows Insurance Gaps Remain
Source: Case Management Monthly
While some 26 million Americans have gained insurance since the Affordable Care Act (ACA) became effective in 2010, another 24 million U.S. adults are still living without coverage, according to a new report by the Commonwealth Fund, a private, nonprofit organization that supports health policy research and reform.
Study Finds 30% Of Antibiotic Prescriptions Not Necessary
Source: Physician Practice Insider
A new study has found that 30% of antibiotic prescriptions written were unnecessary to the condition they were treating, adding to a body of evidence that physicians routinely prescribe antibiotics to patients who don’t need them.
Release of Information Benchmarking Survey
HCPro's HIM Briefings is conducting its benchmarking survey on release of information, and we would appreciate your input. To show our thanks, we will select one respondent at random to win a complimentary HCPro webinar of his or her choice. To enter to win, please include your contact information at the end of the survey.
 

Daily Q&A

Q&A: Inpatient-Only Separate Procedure Exception
Source: Medicare Compliance Watch
Please explain the separate procedure exception for inpatient-only procedures.

Need expert advice?
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

Tuesday, 11/1 - How to Report Across 2016 Medicare Quality Programs Call
Wednesday, 11/2 - Clinical Diagnostic Laboratory Test Payment System: Data Reporting Call
Tuesday, 11/15 - Quality Payment Program Final Rule Call
 

Product Spotlight

Inpatient-Only Procedures Training Handbook

The Inpatient-Only Procedures Training Handbook, by nationally recognized and respected regulatory specialist Debbie Mackaman, RHIA, CPCO, CCDS, analyzes the regulations and provides practical information, strategies, and best practices for ensuring compliance and preventing denials and lost revenue.

 

    

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