HCPro - Revenue Cycle Daily Advisor

Physician Use of Data Skyrockets When It's Available in Real Time

Source: HealthLeaders Media


Provider organizations across the country are continuously searching for strategies to improve quality and outcomes while also lowering the cost of care. For hospitals and health systems located in states that have not expanded Medicaid coverage, there is a particular need to focus on reining in costs and enhancing services for low-income populations.


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Medicare Updates: This Week’s Regulatory Changes

Source: Medicare Compliance Watch


This week’s Medicare updates include new waived tests for CLIA; guidance to surveyors in conducting exit conferences to review Medicare and Medicaid compliance; and more!


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Bigger Isn’t Always Better

Source: HIM Briefings


For all the talk about population health and big data, there is less discussion about data integrity, a key principle in data usage. Anyone who has worked with the most basic of databases, the master patient index, knows how many errors occur in collecting up-front patient access data.


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Daily Q&A

Q&A: Determining Place of Service From the ED

Source: Medicare Compliance Watch


I have a question regarding which place of service (POS) code I should use for an orthopedic doctor who did a consultation on a patient that came through the ED. The orthopedic doctor saw the patient February 1. The patient did finally receive a room assignment February 2. In this scenario would I use POS 22 (outpatient hospital) or 23 (ED)?


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Upcoming CMS Events


Tuesday, 4/5 - Medicare Shared Savings Program ACO: Preparing to Apply for 2017 Call

Tuesday, 4/12 - Open Payments 2016: Prepare to Review Reported Data Call

Thursday, 4/14 - IMPACT Act: Data Element Library Call

Product Spotlight

CC/MCC: Tools for Capturing Accurate Clinical Documentation


This program will focus on targeted CC/MCC areas, highlighting opportunities for improvement. Speaker Adriane K. Martin, DO, FACOS, will review principles related to CC/MCC assignment, discuss what clinical elements drive a particular condition to a DRG, delve into specific clinical conditions for difficult diagnoses, and identify emerging areas of concern.


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