Wednesday, December 28, 2016

Top Stories

Watch for the Revenue Cycle Daily Advisor!
Beginning in January, you will be receiving the Revenue Cycle Daily Advisor instead of Medicare Insider. Featuring the same great content you’ve come to expect, this free daily email newsletter combines your current Medicare regulatory compliance news and analysis with other expert revenue cycle information from HealthLeaders Media and HCPro, covering topics such as Medicare reimbursement rules and regulations, value-based business models, clinical documentation improvement, health information management issues, patient privacy and security, updates to coding and billing rules, utilization review and case management challenges, and hospital and physician practice reimbursement and compliance. Your current subscription to Medicare Insider will automatically be transferred to the Revenue Cycle Daily Advisor in the coming weeks. Please watch for new issues starting in January.
Note from the instructor: Key functions of the revenue cycle
This week’s note discusses the main front-end, middle, and back-end revenue cycle functions.
This week in Medicare updates–12/28/2016
This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!
Platinum Content:  Episodic payment bundles: How to get started
By 2018, 50% of Medicare payments will be tied to value-based alternative payment models. The Medicare Episodic Payment Bundle Model substantially changes how a hospital is paid for a number of orthopedic and cardiac DRGs.
Newly approved Recovery Auditor issues–12/28/2016
There are no newly approved Recovery Auditor issues this week.
 

Upcoming CMS Events

CMS is hosting events, forums, and calls in the upcoming months. Click for registration information.

Events include:

  • Special Open Door Forum: Home Oxygen Clinical Data Elements, Thursday, 1/5/17
  • Hospital Open Door Forum, Wednesday, 1/11/17
  • IRF-PAI Therapy Information Data Collection Call, Thursday, 1/12/17
 

Product Spotlight

The Denials Management Training Handbook

The Denials Management Training Handbook provides clear, concise explanations of the complex appeal guidelines for Medicare and other payers. This information is presented in an easy-to-understand handbook for distribution to staff members involved in preventing and handling appeals.

 

Advisory Board

Kimberly Anderwood Hoy Baker, JD
Director of Medicare and Compliance

Judith L. Kares, JD
Regulatory Specialist

Debbie Mackaman, RHIA, CPCO, CCDS
Regulatory Specialist

Valerie A. Rinkle, MPA
Regulatory Specialist

Regulatory Specialist Bios

 

    

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Medicare Compliance Watch Spotlight

FY 2017 IPPS Highlights: Hot Reimbursement and Quality Initiatives webcast

 
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.