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HCPro - Revenue Cycle Daily Advisor

Most Physician Offices, Hospitals Avoid Reporting Requirements in CLFS Rule

Source: Medicare Compliance Watch

 

CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule, though the agency has pushed the start date back a year and worked to ease administrative burden based on public comments.


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Largest Medicare Fraud Sweep Nabs 301 Suspects

Source: HealthLeaders Media

 

More than 60 licensed medical professionals were among the suspects arrested in a series of raids across 23 states and charged with fraud in cases totaling more than $900 million in false billing.

 
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AHIMA: HHS Must Standardize Minimum Necessary Definition

Source: HCPro HIM

 

HHS must provide a clearer definition of the HIPAA minimum necessary standard, AHIMA president Melissa Martin, RHIA, CCS, CHTS-IM, testified at a subcommittee hearing.

 
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Denials Management Feedback

 

HCPro is seeking feedback on your denials management staff training needs. Please take a moment to answer a short 5-question survey to help us learn what would best serve your needs. Click here to take the survey.


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Daily Q&A

Q&A: Observation Notice for Non-Medicare Patients

Source: Medicare Compliance Watch

 

Should the MOON be used only for Medicare or Medicare HMO patients or should it also be used for commercial insurance and Medicaid patients?

 

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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

 

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

Tuesday, 7/12 - SNF Quality Reporting Program Call

Product Spotlight

Injections and Infusions Workshop

 

Compliance and revenue integrity relies on orders, nursing documentation, correctly applying coding rules, capturing charges, and more. Bring your team to HCPro’s Injections and Infusions Workshop led by expert Jugna Shah, MPH, to ensure proper documentation, charges, and coding for both chemotherapy and non-chemotherapy injection and infusion services, including hydration services.


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