Trouble viewing? See it online! Wednesday, November 23, 2016

News
MACRA's Information Blocking Threat May be Toothless
Source: HealthLeaders Media
Whether the practice of reasonable or unreasonable data blocking yields to government or market forces in 2017 remains to be seen.
Medicare Updates: This Week's Regulatory Changes
Source: Medicare Compliance Watch
This week’s Medicare updates include 2017 Annual Update to the Therapy Code List, a Proposed Decision Memo on Leadless Pacemakers, Provider Reimbursement Manual Hospital and Hospital Health Care Complex Cost Report Form CMS-2552-10 updates, and more!
Conducting a Phase Two Audit Self-review
Source: Briefings on HIPAA
The phase two HIPAA audit protocols offer a point-by-point guideline for covered entities and business associates to review HIPAA compliance.
 

Daily Q&A
Q&A: Is Modifier -JW Mandatory?
Source: Medicare Compliance Watch
Is modifier -JW mandatory if a provider does not want to obtain reimbursement for discarded amounts of medication? Our departments are struggling with how to operationalize the documentation and the calculation of units for two line items on a claim. 

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
Wednesday, 11/30 - Medicare Diabetes Prevention Program Model Expansion Call
Thursday, 12/1 - IRF and LTCH Quality Measure Report Call
Tuesday, 12/6 - National Partnership to Improve Dementia Care and QAPI Call
Monday, 12/12 - 2016 Hospital Appeals Settlement Update Call
 

Product Spotlight

The Revenue Integrity Training Toolkit

Due to the nature of today’s healthcare environment some staff may not even realize that they’re part of the revenue cycle. This can lead to challenges with compliance, reimbursement, and, ultimately, patient care. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops.
 

    

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Free Resources

Medicare Compliance Watch Helpful Links

Visit this valuable free collection of links regularly updated by HCPro regulatory specialists.
 
 

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