| This week’s note from the instructor is written by Debbie Mackaman, RHIA, CPCO, CCDS, regulatory specialist for HCPro.
This year, April will not only bring spring showers but could bring severe thunderstorms and maybe even a hail storm or two to RHCs, as CMS will require revenue code and HCPCS code reporting on April 1 date of service. In January, I wrote an article about changes to the Medicare Benefit Policy and Claims Processing Manuals that directly affected RHCs and I mentioned that more information would be coming out regarding the new reporting requirement.
Click here for the in-depth analysis.
This article is available to Basic and Platinum members of Medicare Compliance Watch. Please sign in or subscribe to read the complete article.
This week’s updates include coding revisions to NCDs; the April 2016 hospital OPPS update; and more!
This news article is free for all Medicare Insider subscribers. Click here to read all of this week’s updates. Some organizations use split billing; patients who see their physicians receive two bills, one for the physician’s professional services and another for facility resources. No current evaluation and management (E/M) guidelines exist for facility leveling. Click here to read this excerpt from the book "Auditing Evaluation and Management Services, Second Edition".
This book excerpt is available to Platinum members of Medicare Compliance Watch. Please sign in or subscribe to read the complete excerpt.
There is one newly approved Recovery Auditor issue.
To review the newly approved issue, click here.
- IMPACT Act: Data Element Library Call; Thursday, April 14
- National Partnership to Improve Dementia Care and QAPI Call; Thursday, April 28
Events are viewable for all Medicare Insider subscribers. Click here for more details and to register.
Product Spotlight
The Revenue Integrity and Chargemaster Boot Camp provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate the chargemaster function to cost reporting and key operational issues, such as clinical documentation, charge capture, and HIM coding. It will also provide context for chargemaster maintenance within revenue integrity processes, which can help avoid denials and improve clean claim rates for Medicare and other payers. You will leave this program knowing how to: - Provide formal, organized education and training for revenue integrity and chargemaster staff
- Provide context for the intersection of the chargemaster with clinical/revenue departments, charge capture, finance, and patient access and billing
- Walk attendees through CMS regulatory requirements for pricing and charging patients, as well as key relationships between the chargemaster and provider cost reporting
- Give detailed instructions for the majority of revenue codes for optimal chargemaster setup, maintenance, charge capture, and documentation issues
- Review chargemaster issues for commercial/managed care versus CMS requirements.
For more information and to register, visit the HCPro Healthcare Marketplace.
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