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  March 23, 2016 Follow us on Facebook Follow us on Twitter Join us on LinkedIn

Test new HCPro products as part of the new Revenue Cycle Product Advisory Board

HCPro is creating a revenue cycle product advisory board. This board will review revenue cycle products and be a source of market research. Participants will have the opportunity to test new products and provide feedback. If you would like to participate, please complete this brief survey and be sure to leave your name, title, organization, and contact information. If the click-through does not work, copy and paste the URL into the address bar of your browser. https://www.surveymonkey.com/r/H9SY2T2


Note from the instructor: Medicare Payment of Covered Chiropractic Services Requires Attestation of Active Treatment

This week’s note from the instructor is written by Valerie A. Rinkle, MPA, regulatory specialist for HCPro.

CMS released a series of special edition articles applicable to chiropractic services on March 16. These articles address questions raised during a special Open Door Forum (ODF) call on September 24, 2015, about the high percentage of documentation errors discovered by CERT audits in 2014.

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 in Medicare updates – 01/20/2016

This week’s updates include implementation of the award for Jurisdiction A DME MAC workload; April 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.1; and more!

This news article is free for all Medicare Insider subscribers. Click here to read all of this week’s updates.

Platinum Content: 2016 Medical Record Documentation Guide

Our readers have been asking for an updated medical record documentation guide, and here it is—new and improved! The guide provides references to the associated CMS Conditions of Participation and new and revised standards and elements of performance. Use this tool, published in HIM Briefings, as a guide for ongoing record reviews.

This tool is available to Platinum members of Medicare Compliance Watch. Please sign in or subscribe to access the complete resource.



Newly Approved Recovery Auditor Issues

There were no newly approved Recovery Auditor issues last week.

To read past newly approved Recovery Auditor issues, click here.




Upcoming CMS Events

  • Medicare Shared Savings Program ACO: Preparing to Apply for 2017 Call; Tuesday, April 5
  • Open Payments 2016: Prepare to Review Reported Data Call; Tuesday, April 12
  • IMPACT Act: Data Element Library Call; Thursday, April 14
  • Medicare Shared Savings Program ACO Application Process Call; Tuesday, April 19
  • 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

Medicare Boot Camp®-Hospital Version

Bring predictability and stability back to your revenue by joining the nation’s leading Medicare experts for the Medicare Boot Camp—Hospital Version.

Dramatic changes to the IPPS and OPPS rules could mean more revenue stability—if your team understands how to implement the new regulatory guidance. Medicare Boot Camp—Hospital Version unlocks all of the answers to your Medicare questions by teaching you the latest rules and their application.

Medicare Boot Camp—Hospital Version prepares you to better manage your revenue cycle and government audits by focusing on real guidance from CMS, rather than unsupported opinions or rhetoric. You’ll leave class ready to make improvements that will strengthen reimbursement and compliance for your hospital or health system. And you’ll have the research tools and skills at your fingertips to answer your own Medicare questions long after the Boot Camp is over.

You will leave this program knowing how to:

  • Prevent inpatient denials
  • Conduct “self-audits” to receive Part B payment for inpatient cases
  • Properly use and bill for observation services
  • Research and resolve claims issues that delay revenue
  • Prevent missed revenue and denials
  • Implement best practices so you get the revenue you deserve while staying in compliance

 

Upcoming open registration dates and locations include:

  • April 11 through 15, 2016 in Dallas, TX
  • May 2 through 6, 2016 in Brentwood (Nashville), TN
  • June 13 through 17, 2016 in Englewood (Denver), CO
  • July 25 through 29 in Portland, OR
  • August 8 through 12 in Davidson (Charlotte), NC
  • September 19 through 23 in Schaumburg (Chicago), IL

 

For more information and to register, visit the HCPro Healthcare Marketplace.



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What's New?

Total joint replacement bundling article

Click the Free Sample box and fill out the form to access the free excerpt from HIM Briefings.



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



Contact Us

Lori-Anne Malonson, Editor
Medicare Insider
Contact us today!

HCPro
75 Sylvan Street, Suite A-101
Danvers, MA 01923
781/639-3390
http://www.hcpro.com
 



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DISCLAIMER
Advice given is general, and readers should consult professional counsel for specific legal, ethical, or clinical questions. Users of this service should consult attorneys who are familiar with federal and state health laws.

HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC).

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