Wednesday, November 23, 2016

Top Stories

Note from the Instructor: Unique Challenges and Uses of Coded Data: Quality Measures and Patient Safety Initiatives
This week’s note discusses the use of coding data in quality measures and patient safety initiatives.
This week in Medicare updates–11/23/2016
This week’s Medicare updates include 2017 Annual Update to the Therapy Code List, a Proposed Decision Memo on Leadless Pacemakers, Provider Reimbursement Manual Hospital and Hospital Health Care Complex Cost Report Form CMS-2552-10 updates, and more!
Platinum Content: MOON requirement delayed in IPPS final rule: What next?
Hospitals got a last-minute reprieve from the Medicare Outpatient Observation Notice (MOON) notification requirement, which was set to go into effect August 6. 
Newly approved Recovery Auditor issues–11/23/2016
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:

  • Medicare Diabetes Prevention Program Model Expansion Call, Wednesday 11/30
  • IRF and LTCH Quality Measure Report Call, Thursday, 12/01
  • National Partnership to Improve Dementia Care and QAPI Call, Tuesday, 12/06
  • 2016 Hospital Appeals Settlement Update Call, Monday, 12/12
 

Product Spotlight

The Chargemaster Essentials Toolkit

By Valerie A. Rinkle, MPA, this book provides readers with the tools to optimize their chargemaster and use it as a powerful tool for ensuring accurate reimbursement and revenue integrity. Readers will also receive helpful downloadable tools such as a maintenance calendar, policies, and questionnaires for working with other departments.

 

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

2016 CMS Hospital Appeals Settlement National Provider Call

 
 

Career Center

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