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Wednesday, July 27, 2016

News

Understanding Clinical Documentation Reconciliation
Source: HIM Briefings
In the world of CDI, "reconciliation" typically refers to DRG reconciliation, which is the process of adjusting DRGs when those assigned by the CDI specialist do not match those assigned by the coder.
This week in Medicare–07/27/2016
Source: Medicare Compliance Watch
This week’s updates include the quarterly update to the CCI edits; denial codes for missing or insufficient documentation; and more!
Medicare Proposes Bundled Payments for Cardiac Care
Source: HealthLeaders Media
The first mandatory bundled payment models for heart attack and coronary artery bypass procedures would begin in the summer of 2017.
Survey: Compare your HIM Department to Others
Source: Medicare Compliance Watch
Have you ever wondered how other HIM professionals work and how their departments operate? Now you can find out! HCPro's HIM Briefings is conducting a benchmarking survey on HIM roles and responsibilities, and we would appreciate your input. Please take a few moments to complete this survey.
 

Daily Q&A

Q&A: What Do We Need to Document for Wasted Drugs?
Source: Medicare Compliance Watch
Q: When our pharmacy mixes medications for infusion, they sometimes have to waste a part of the vial that was opened. They log this in the pharmacy log, which they keep in the department. We have been billing the full amount of the drug that was in the vial and have had no issues with getting paid. Our pharmacist came from a regional meeting and told us that this is going to change. 

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, August 2 - ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data Call
Wednesday, August 10 - PQRS Feedback Reports and the PQRS Informal Review Process for Program Year 2015 Results Call
 

Product Spotlight

JustCoding’s 2017 ICD-10-PCS Code Updates

CMS has released thousands of new ICD-10-PCS codes to be activated October 1, 2016, as part of the 2017 IPPS proposed rule—the first major change in five years. During this program, our expert speaker Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer, will help you sift through the significant coding and guideline changes that may impact your facility.

 

    

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HealthLeaders Media Intelligence Reports

Visit the HealthLeaders Media website for analysis and forecasts, including an annual Industry Survey, Buzz Surveys, and other research.