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HCPro - Revenue Cycle Daily Advisor

Oncology Care Model Kicks Off

Source: HealthLeaders Media

 

Medical groups participating in the bundled payments program for cancer care are eager to innovate care, exchange ideas with other providers, and improve communication with patients and families.


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Laws Affecting Medicare Fraud and Overpayments

Source: Medicare Compliance Watch

 

This article discusses a broad overview of federal statutes and regulatory schemes relevant to fraud and overpayments in the Medicare program. Under the overpayments rule, an “overpayment” means any funds that a “person” has received or retained under Medicare to which the “person,” after applicable reconciliation, is not entitled.

 
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Understanding Root Operations that Include Other Repairs

Source: JustCoding

 

Because the physician doesn't need to document a specific root operation, coders cannot rely solely on the terms the physician uses; thus, it is important for each coder to fully understand each root operation, especially Control and Repair.

 
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Daily Q&A

Q&A: Leaving Voicemails for Patients

Source: HIM Briefings

 

Can I leave a patient a voicemail about an MRI procedure, including the time and date? What should I do if someone else at the patient's home answers the phone?

 

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Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

Upcoming CMS Events

 

Monday, 7/18 - Public Meeting for the Laboratory Payment for New Clinical Test Codes for 2017

Wednesday, 7/20 - MEDCAC—Treatment Strategies for Patients with Lower Extremity Chronic Venous Disease

Product Spotlight

Revenue Integrity and Chargemaster Boot Camp

 

This boot camp relates the chargemaster function to cost reporting and key operational issues, such as clinical documentation, charge capture, and coding. It also provides context for chargemaster maintenance within revenue integrity processes, which can help avoid denials and improve clean claim rates.


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