Wednesday, December 21, 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 compliance. Your current subscription to Medicare Insider will automatically be transferred to the Revenue Cycle Daily Advisor in the coming weeks.
Note from the instructor: Location, location, location
This week’s note discusses the 21st Century Cures Act Section 603 amendments and the effect of the Act on hospital locations.
This week in Medicare updates–12/21/2016
This week’s Medicare updates include Hospital Appeals Settlement Process FAQs, additional opportunities for clinicians under the Quality Payment Program, Conditions for Coverage for End-Stage Renal Disease Facilities interim final rule, and more!
Platinum Content: Transforming revenue integrity: A case study in coding, CDI, and physician education
Does revenue integrity extend beyond chargemasters and billing? Kalispell Regional Medical Center, one of the “100 Great Community Hospitals,” according to Becker’s Hospital review, says yes.
Newly approved Recovery Auditor issues–12/21/2016
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:

  • Hospital Open Door Forum, Wednesday, 1/11/17
  • IRF-PAI Therapy Information Data Collection Call, Thursday, 1/12/17
  • ESRD QIP: Payment Year 2020 Final Rule Call, Tuesday, 1/17/17
 

Product Spotlight

NCCIs and MUEs: Solving Claims Edits webinar

Join expert speakers Denise Williams, RN, COC, and Valerie A. Rinkle, MPA, as they walk listeners through the different types of edits, to which accounts they should be applied to, which edits can be appealed and why, processes for reducing edits on the front end, and how these edits impact cost reporting and rate setting.

 

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

CMS Special Open Door Forum: Part D Appeals Process

 
 

Career Center

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